Jordan, Emily Michelle

Jordan, Emily Michelle is an individual health care provider with primary practice located at 15 Regional Dr , Pinehurst NC 28374-8850. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Jordan, Emily Michelle can be contacted via phone (910) 295-5511.

Contact Information

Primary practice address
15 Regional Dr Pinehurst NC 28374-8850
Phone: (910) 295-5511
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 6622P Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 3006622 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5014262 North Carolina

Profile Details

NPI number 1922317619
LBN Legal business name Jordan, Emily Michelle
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2010
Last updated Apr 2nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1922317619 NPPES
Kentucky MEDICAID 7100140270

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