Individual
JORDAN MACKENZIE STAMPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
631 PROFESSIONAL DR STE 360, LAWRENCEVILLE, GA 30046-3370
(678) 312-3290
Mailing address
4084 ASHEVILLE DR, BUFORD, GA 30519-6902
(678) 772-1608
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
2024094678
GA
363LA2100X
Acute Care Nurse Practitioner
Primary
RN295277
GA
Other
Enumeration date
02/24/2025
Last updated
03/31/2025
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