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Individual

EMILY MICHELLE JORDAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
15 REGIONAL DR, PINEHURST, NC 28374-8850
(910) 295-5511
Mailing address
15 REGIONAL DR, PINEHURST, NC 28374-8850
(910) 295-5511

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5014262
NC
363L00000X
Nurse Practitioner
6622P
KY
363LP2300X
Primary Care Nurse Practitioner
3006622
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100140270
KY
Enumeration date
09/29/2010
Last updated
04/02/2021
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