License Verification

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TIFFANY BARBIE JORDAN

License Number: PA9106038

Data As Of 6/21/2025

Profession
Physician Assistant
License
PA9106038
License Status
Clear/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
06/23/2011
Address of Record
23471 Walden Center Dr
Suite 200
BONITA SPRINGS, FL 34134
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
2225 Venetian Ct Suite 1 The Woodruff Ins. for Derm/Cosm. Serv
NAPLES, FL 34109
Address
2235 Venetian Court Suite 1 The Woodruff Ins. for Derm/Cosm. Serv
NAPLES, FL 34109
Name Relationship Profession License Effective Date
BRADY, BOBBI GEORGIA Supervising Prescribing Practitioner Medical Doctor 134888 03/07/2023
LAMBERT, REBECCA WOODRUFF Supervising Prescribing Practitioner Medical Doctor 84786 03/07/2023
RUSSELL, KATHRYN JOY Supervising Prescribing Practitioner Medical Doctor 115577 03/07/2023

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Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 6/21/2025



* To find out more about Approved Providers, or ask a provider why the course you took is not yet listed, please visit our Continuing Education Providers page.


** Personal Development is limited to no more than 3 hours per renewal cycle. Any personal development hours in excess of this 3 hour maximum cannot be used for renewal and have been subtracted from the total available for renewal.


Please do not fax proof of Continuing Education hours to the Board Office until you have received your renewal notice in the mail.


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