Individual
JORDAN MARTHA LEE FENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 MANNING DR, CHAPEL HILL, NC 27514-4220
(984) 974-1000
Mailing address
4833 CRYSTAL DOWNS WAY, MIDDLETON, WI 53597-8960
(630) 400-7662
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2020-03182
NC
2085R0202X
Diagnostic Radiology Physician
Primary
84156
WI
Other
Enumeration date
05/12/2018
Last updated
11/24/2025
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