Individual
JORDAN HOUSE CREASY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4517 JESSUP GROVE RD, GREENSBORO, NC 27410-9407
(336) 702-5635
Mailing address
1 MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-8132
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5022966
NC
363LF0000X
Family Nurse Practitioner
5022966
NC
Other
Enumeration date
09/01/2025
Last updated
01/15/2026
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