Individual
JOSEPH VINCENT JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4030 WAKE FOREST RD STE 349, RALEIGH, NC 27609-0010
(919) 897-7538
Mailing address
604 E FRONT ST UNIT 382, CLAYTON, NC 27520-2058
(919) 897-7538
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-12416
NC
Other
Enumeration date
01/25/2020
Last updated
10/03/2025
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