Search › Colorado › 363LF0000X
Jacquita Jordan, FNP-BC, PMHNP-BC
NPI 1730558834 · on the registry since 2015
Practice
- Address
- 5115 Fontaine Blvd
Fountain, CO 80817 - Phone
- (719) 653-7776
- Fax
- (719) 207-7783
- Organisation at this address
- Genoa Healthcare Llc
Fountain Valley Health Care Llc
Fountain Valley Health Care Llc
Optumcare Colorado Springs, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 363LA2100X
207QA0401X
363LA2200X
Psychiatric/Mental Health Nurse Practitioner - Licence states on file
- CO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-06-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado