Individual
JORDAN TYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
920 CHURCH ST N, CONCORD, NC 28025-2927
(704) 403-3000
Mailing address
7012 N MILLS RD, CHARLOTTE, NC 28216-5283
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
319681
NC
Other
Enumeration date
08/21/2025
Last updated
08/21/2025
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