Jordan, Terri Lee

Jordan, Terri Lee is an sole proprietor health care provider with primary practice located at 919 E Main St Ste 1000 , Richmond VA 23219-4623. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Jordan, Terri Lee can be contacted via phone (804) 729-6904.

Contact Information

Primary practice address
919 E Main St Ste 1000 Richmond VA 23219-4623
Phone: (804) 729-6904
Fax: (855) 737-5542
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 0024166231 Virginia

Profile Details

NPI number 1134175979
LBN Legal business name Jordan, Terri Lee
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 25th, 2006
Last updated Apr 22nd, 2020 - about 5 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 1134175979 NPPES
Virginia MEDICAID 010199786

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