Provider Demographics
NPI:1013599950
Name:JORDAN-TOPP, JORDAN (APRN)
Entity Type:Individual
Prefix:
First Name:JORDAN
Middle Name:
Last Name:JORDAN-TOPP
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:JORDAN
Other - Middle Name:
Other - Last Name:MAHLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:18021 FRAME BND
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34638-7670
Mailing Address - Country:US
Mailing Address - Phone:813-957-2729
Mailing Address - Fax:
Practice Address - Street 1:9332 STATE ROAD 54 STE 400
Practice Address - Street 2:
Practice Address - City:TRINITY
Practice Address - State:FL
Practice Address - Zip Code:34655-1810
Practice Address - Country:US
Practice Address - Phone:727-372-4779
Practice Address - Fax:727-372-4559
Is Sole Proprietor?:No
Enumeration Date:2021-04-21
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL390200000X
FLAPRN11013735363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program