Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Jacquita Jordan, FNP-BC, PMHNP-BC

Family Nurse Practitioner in Fountain, CO · enumerated 2015.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1730558834

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Registry record

Entity type Individual (Type 1)

Name Jacquita Jordan

Credential FNP-BC, PMHNP-BC

Sex Female

Practice address 5115 Fontaine Blvd, Fountain, CO, 80817

Phone (719) 653-7776

Fax (719) 207-7783

Enumeration date Sep 18, 2015

Last updated in NPPES Jun 26, 2026

Taxonomy & licenses

363LA2100X Acute Care Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License APN.0991885-NP (CO) Secondary

363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 0991885 (CO) Primary

207QA0401X Addiction Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians · License APN.0991885-NP (CO) Secondary

363LA2200X Adult Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 0991885 (CO) Secondary

363LP0808X Psychiatric/Mental Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License APN.0991885-NP (CO) Secondary

Other identifiers

Identifier	Type	State	Issuer
42820065	Medicaid	CO	-
9000108092	Medicaid	CO	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Jacquita Jordan?

The National Provider Identifier (NPI) for Jacquita Jordan is 1730558834, a Type 1 (individual) record in the CMS NPPES registry.

Where does Jacquita Jordan practice?

The practice location on file with NPPES is in Fountain, CO. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

Browse all →

Richard Miller Family Medicine Physician · Fountain, CO NPI 1063481539 Thomas Johnson Family Medicine Physician · Fountain, CO NPI 1053370650 Optumcare Colorado Springs, LLC General Practice Physician · Fountain, CO NPI 1316480783 Vanessa Bergstreser Family Nurse Practitioner · Fountain, CO NPI 1780357640 Fountain Valley Health Care LLC Primary Care Clinic/Center · Fountain, CO NPI 1275272924 Fountain Valley Health Care LLC Psychiatric/Mental Health Nurse Practitioner · Fountain, CO NPI 1225890619 Jami Pevler Family Nurse Practitioner · Fountain, CO NPI 1922990951

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-06-26.