Jordan Cluck, FNP-C
Nurse Practitioner, Family in Kerrville, TX. Individual provider (NPI-1).
NPI number1851933451
StatusActive
Last updated in NPPESJul 27, 2022
Details
- NPI
- 1851933451
- Entity type
- Individual (NPI-1)
- Name
- Jordan Cluck
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 15, 2019
- Certification date
- Jul 27, 2022
- Last updated
- Jul 27, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | AP143355 | TX | Yes |
Practice location
1740 Junction HwyKerrville, TX 78028-9401
Phone 830-258-7669
Mailing address
575 Hill Country Dr Ste 101Kerrville, TX 78028-6024
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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