Individual
JORDAN JANICE SEEBOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7800 PROVIDENCE RD STE 209, CHARLOTTE, NC 28226-2986
(616) 581-9244
Mailing address
7800 PROVIDENCE RD STE 209, CHARLOTTE, NC 28226-2986
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-11693
NC
363AM0700X
Medical Physician Assistant
Primary
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
10/14/2021
Last updated
02/26/2025
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