Individual
JORDAN BEY DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
433 COPPERFIELD BLVD NE, CONCORD, NC 28025-2405
(704) 786-7770
Mailing address
3158 FREEDOM DR STE 3102, CHARLOTTE, NC 28208-0014
(704) 731-6857
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
306705
NC
363L00000X
Nurse Practitioner
Primary
5019571
NC
Other
Enumeration date
12/14/2023
Last updated
03/27/2025
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