IndividualActive
Jeremy Jordan, CRNP, CPNP-AC
NPI 1417348905 · Critical Care Pediatric Nurse Practitioner · Birmingham, AL
Provider details
- NPI number
- 1417348905
- Entity type
- Individual
- Primary specialty
- Critical Care Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNP, CPNP-AC
- Sex
- Male
- Sole proprietor
- No
- License
- 1-136533 (AL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1600 7th Ave S
Cppi 102
Birmingham, AL 35233-1711
Phone: (205) 638-3400
Approximate (ZIP-level) locationGet directions
Mailing address
1720 2nd Ave S # Nb308
Birmingham, AL 35294-1210
Registry dates
- Enumerated
- 2015-02-05
- Last updated
- 2017-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.