Individual
JORDYN COUGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
625 ISLAND FORD RD, STATESVILLE, NC 28625-8736
(919) 618-0316
Mailing address
625 ISLAND FORD RD, STATESVILLE, NC 28625-8736
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/05/2025
Last updated
06/13/2025
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