Individual ProviderJordan GoldNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address3918 Far West Blvd, Austin, TX 78731-2901(512) 640-8111(512) 289-3339PECOS EnrollmentBased on the most recent information from CMS, provider Jordan Gold does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:13 AM.Profile DetailsProvider ID1013559350Provider TypeIndividualFull NameGold, JordanCredentialFNPGenderFemaleSole ProprietorNoEnumeration Date10/8/2019Last Updated10/8/2019Contact InformationPractice LocationPractice Address3918 Far West Blvd, Austin, TX 78731-2901Phone(512) 640-8111FaxUnlisted FaxMailing LocationMailing Address8305 Caledonia Dr, Austin, TX 78717-5431Phone(512) 289-3339FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAP143387Texas