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

Vernon Odell Jordan, CHW1

Individual provider Adolescent Medicine (Family Medicine) Physician · NPI 1053195511

Vernon Odell Jordan, CHW1 is an Adolescent Medicine (Family Medicine) Physician in Las Vegas, Nevada. Practices as a sole proprietor. Licensed in Nevada.

Licensed in
NV
In the registry since
2023
Specialties on file
2

Practice location Address checks out

5860 S Pecos Rd Ste 200
Las Vegas, NV 89120-5429
Phone: (702) 780-1313
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence CHW1 (NV)
Adolescent Medicine (Family Medicine) Physician Taxonomy 207QA0000X · Licence CHW1 (NV)

Record details

NPI number1053195511
Entity typeIndividual (Type 1)
GenderMale
Credentials CHW1
Sole proprietorYes
NPI enumeratedAugust 24, 2023
Last updated in NPPESAugust 24, 2023
Certification dateAugust 24, 2023