Individual
JORDAN DOETSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
120 MEMORIAL DR, JACKSONVILLE, NC 28546-6328
(910) 353-0581
(910) 577-1150
Mailing address
PO BOX 986513, BOSTON, MA 02298-6513
(910) 219-8326
(910) 939-4269
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5016211
NC
Other
Enumeration date
05/18/2022
Last updated
11/03/2023
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