Individual
JORDAN BLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2817 ROCK MERRITT AVENUE, FORT BRAGG, NC 28310-0001
(910) 907-8922
(910) 907-6069
Mailing address
2817 ROCK MERRITT AVENUE, FORT BRAGG, NC 28310-0001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-14962
NC
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/02/2023
Last updated
09/26/2025
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