Individual
MR. JORDAN REID WILKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, CRNA
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-8000
Mailing address
3100 SPRING FOREST RD STE 130, RALEIGH, NC 27616-2880
(919) 350-5645
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
226934
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
6472
NC
Other
Enumeration date
03/02/2019
Last updated
09/21/2020
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