Jordan, Beverly A.

Jordan, Beverly A. is an individual health care provider with primary practice located at 5325 Appian Way , Charleston SC 29420-7234. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Jordan, Beverly A. can be contacted via phone (843) 552-0400.

Contact Information

Primary practice address
5325 Appian Way Charleston SC 29420-7234
Phone: (843) 552-0400
Fax: (843) 552-1618
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1370 South Carolina

Profile Details

NPI number 1801851738
LBN Legal business name Jordan, Beverly A.
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Jun 29th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1801851738 NPPES
South Carolina MEDICAID NP0515

Popular Providers