Registry record
- NPI
- 1093608515
- Profession
- Nurse Practitioner (NP)
- Specialty
- Nurse Practitioner (363L00000X)
- Practice address
- 912 S Fleishel Ave
Tyler, TX 75701 - Phone
- 9035926901
- In the registry since
- June 2, 2025
- Last NPPES update
- July 15, 2025
- Sole proprietor
- No
- License
- 1204964 (TX)
At this location
9 other providers in our data list 912 S Fleishel Ave, Tyler as a practice address:
- Kimberly Brown, FNP
Nurse Practitioner · NPI 1083084537
- Cynthia Chaney, NP
Family Nurse Practitioner · NPI 1114137262
- Mrs. Susan D. Gallien, APRN NP-C
Family Nurse Practitioner · NPI 1831354752
- Rhonda F Mathis, ACNP
Acute Care Nurse Practitioner · NPI 1245534379
- Charles Bryan Pipes, NP
Nurse Practitioner · NPI 1831818004
- Christine Ann Porter, ACNP
Acute Care Nurse Practitioner · NPI 1932351392
- Pamela Nicole Ray, NP
Family Nurse Practitioner · NPI 1871126029
- Skylar Wayne Schamber, NP
Acute Care Nurse Practitioner · NPI 1922764588
- Naomi Susan Wallace, NP
Nurse Practitioner · NPI 1013699131
In context
The NPI number of Jordan Dickerson is 1093608515. They are a Nurse Practitioner in Tyler, Texas.
Jordan Dickerson is one of 201 Nurse Practitioners in Tyler and one of 6,739 across Texas in our data. Tyler ranks #11 among Texas cities in our dataset, with 607 NP and PA providers.
The NPI has been in the federal registry for 1 year, since June 2, 2025.
Frequently asked questions
What is NPI 1093608515?
NPI 1093608515 is the 10-digit National Provider Identifier assigned to Jordan Dickerson, a Nurse Practitioner practicing in Tyler, Texas. The record has been in the NPPES registry since June 2, 2025.
How do I verify this provider?
Cross-check NPI 1093608515 in the official CMS registry at npiregistry.cms.hhs.gov, and confirm license 1204964 with the TX licensing board. You can also run the number through our free NPI validator to confirm its checksum.
Is this information current?
This profile reflects the June 2026 NPPES data file. NPPES lists the record's last update as July 15, 2025. We refresh our data each month when CMS publishes a new file.
Data: NPPES public registry, June 2026 file. Not medical advice. Verify independently before care or credentialing decisions. Errors in the source record can be corrected at nppes.cms.hhs.gov; see our corrections page.