Individual
JORDAN ALAN MAYNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, CRNA
Contact information
Practice address
2301 ERWIN RD, DURHAM, NC 27705-4699
(860) 917-2463
Mailing address
104 PENNSBURY CT, CARY, NC 27513-1728
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
7361
NC
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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