Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Chenaull Van Jordan, NP

Individual provider Family Nurse Practitioner · NPI 1972892305

Mrs. Chenaull Van Jordan, NP is a Nurse Practitioner in Troy, Michigan. Qualified in 2007, 19 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Arizona and Michigan.

Years since qualifying
19
Licensed in
AZ, MI
In the registry since
2011
Specialties on file
4
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

4967 Crooks Rd Ste 130
Troy, MI 48098-5801
Phone: (248) 952-1601
Fax: (248) 952-0192
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704218917 (MI)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 4704218917 (MI)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 4704218917 (MI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence AP7702 (AZ)

Record details

NPI number1972892305
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedApril 6, 2011
Last updated in NPPESNovember 25, 2025
Certification dateNovember 25, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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