Loucks, Justin Pearce-Jordan

Loucks, Justin Pearce-Jordan is an individual health care provider with primary practice located at 3332 Bridges St Ste B , Morehead City NC 28557-3296. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Loucks, Justin Pearce-Jordan can be contacted via phone (252) 633-4461.

Contact Information

Primary practice address
3332 Bridges St Ste B Morehead City NC 28557-3296
Phone: (252) 633-4461
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-05521 North Carolina

Profile Details

NPI number 1376932038
LBN Legal business name Loucks, Justin Pearce-Jordan
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2015
Last updated Jan 25th, 2022 - about 2 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 1376932038 NPPES
North Carolina Other 0010-05521 NC LICENSE

Popular Providers