Individual
JORDAN ELIZABETH BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 231-6333
(919) 231-6334
Mailing address
PO BOX 603949, CHARLOTTE, NC 28260-3949
(919) 350-8991
(919) 350-7687
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-09442
NC
363A00000X
Physician Assistant
3765
SC
Other
Enumeration date
09/11/2019
Last updated
02/26/2025
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