Individual
MRS. JULIE MARIE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
900 OLD WINSTON RD, KERNERSVILLE, NC 27284-9964
(336) 713-8077
(336) 713-8088
Mailing address
PO BOX 602658, CHARLOTTE, NC 28260-2658
(336) 716-2011
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5005465
NC
Other
Enumeration date
01/19/2012
Last updated
10/28/2014
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