Individual
MRS. JORDAN PERI DAIL HEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1108B KINGOLD BLVD, SNOW HILL, NC 28580-1619
(252) 747-2204
(252) 747-2210
Mailing address
1108B KINGOLD BLVD, SNOW HILL, NC 28580-1619
(252) 747-2204
(252) 747-2210
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5015686
NC
Other
Enumeration date
01/27/2022
Last updated
01/27/2022
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