Connelly, Jordan

Connelly, Jordan is an individual health care provider with primary practice located at 631 Johnnie Dodds Blvd , Mount Pleasant SC 29464-3030. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Connelly, Jordan can be contacted via phone (843) 881-0815.

Contact Information

Primary practice address
631 Johnnie Dodds Blvd Mount Pleasant SC 29464-3030
Phone: (843) 881-0815
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN.0995884-NP Colorado
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 25228 South Carolina

Profile Details

NPI number 1245832328
LBN Legal business name Connelly, Jordan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 12th, 2020
Last updated Aug 10th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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