Individual
MRS. HEATHER WAGNER JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
436 HOSPITAL DRIVE, SUITE 230, LINVILLE, NC 28646
(828) 737-7711
(828) 737-7713
Mailing address
PO BOX 523, PINEOLA, NC 28662-0523
(828) 737-7711
(828) 737-7713
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
306
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
306
CNM STATE LICENSE NUMBER
NC
Enumeration date
10/17/2006
Last updated
07/13/2007
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