Individual
CAITLIN A JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
101 CHAPMAN HILL RD STE 201, CLEMSON, SC 29631-2194
(864) 653-4071
(864) 653-4074
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8617
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
17820
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP2234
—
SC
01
—
SC6459
MEDICARE
SC
Enumeration date
06/12/2012
Last updated
06/01/2021
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