Individual
DR. JORDAN REBECCA WATTENBURGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C
Contact information
Practice address
403 FAIRVIEW ST, CLINTON, NC 28328-2399
(910) 592-6011
Mailing address
403 FAIRVIEW ST, CLINTON, NC 28328-2311
(910) 592-6011
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
246720
NC
363LF0000X
Family Nurse Practitioner
Primary
5014862
NC
Other
Enumeration date
05/18/2021
Last updated
08/14/2025
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