Individual ProviderJordan WesterNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2401 State Ave Ste 100, Panama City, FL 32405-3942(850) 769-2280(850) 215-3062PECOS EnrollmentBased on the most recent information from CMS, provider Jordan Wester is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1174088967Provider TypeIndividualFull NameWester, JordanTitleMrs.CredentialARNPGenderFemaleSole ProprietorYesEnumeration Date2/5/2019Last Updated2/12/2021Contact InformationPractice LocationPractice Address2401 State Ave Ste 100, Panama City, FL 32405-3942Phone(850) 769-2280FaxUnlisted FaxMailing LocationMailing Address2401 State Ave Ste 100, Panama City, FL 32405-3942Phone(850) 215-3062Fax(850) 215-3024Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense11001413FloridaCode163WE0003XDescriptionRegistered NurseNursing Service ProvidersLicenseRN9337150Florida