Individual
JORDAN DAVIS MALONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3821 FORRESTGATE DR, WINSTON SALEM, NC 27103-2930
(336) 448-9100
(336) 448-5282
Mailing address
PO BOX 25804, WINSTON SALEM, NC 27114-5804
(364) 448-9100
(336) 448-5282
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-08749
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093287583
—
NC
01
—
NN5736A
MEDICARE PTAN
NC
Enumeration date
12/20/2018
Last updated
06/29/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us