Individual
MISS AMY ELIZABETH JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., B.S.N.
Contact information
Practice address
2300 RAMSEY ST, FAYETTEVILLE, NC 28301-3856
(910) 488-2120
Mailing address
6516 WINDY CREEK WAY, FAYETTEVILLE, NC 28306-8902
(910) 424-8591
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
172446
NC
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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