Gloria J Jordan in Dunn - Physician Assistant

Gloria J Jordan - NPI 1982697736

Gloria J Jordan is a Physician Assistant in Dunn, North Carolina. Gloria J Jordan practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Gloria J Jordan is 1982697736. The last update date is 2007-07-08.

Gloria J Jordan's current location address is 104 Tilghman Dr, Dunn, North Carolina. You can contact this provider via phone number 9108921333 and fax number 9108922757. The mailing address for Gloria J Jordan is 104 Tilghman Dr, Dunn, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Gloria J Jordan
Address 104 Tilghman Dr, Dunn, North Carolina
Phone Number 9108921333
Fax Number 9108922757
Sole Proprietor N
Credentials PAC MHS

NPI Number Detail

NPI Number 1982697736
Provider Enumeration Date 2005-08-26
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 104 Tilghman Dr
City Dunn
State North Carolina (NC)
Post Code 283345510
Phone Number 9108921333
Fax Number 9108922757

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 101094
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Gloria J Jordan

What is the unique identifier code issued to Gloria J Jordan by the Centers for Medicare & Medicaid Services?

The Gloria J Jordan has been assigned the NPI (National Provider Identifier) 1982697736. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Gloria J Jordan's facilities are situated?

The facilities of Gloria J Jordan are physically located at the following address: 104 Tilghman Dr, Dunn, NC, 283345510.

What is Gloria J Jordan's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Gloria J Jordan is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.

On what date was the 1982697736 assigned to Gloria J Jordan?

The Gloria J Jordan was issued its 1982697736 on 2005-08-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

On what date did the Gloria J Jordan receive the assignment of its 1982697736 from the Centers for Medicare & Medicaid Services?

The Gloria J Jordan was issued its 1982697736 by the Centers for Medicare & Medicaid Services on 2005-08-26.

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