Search › North Carolina › 101YA0400X
Jacqueline Jordan
NPI 1700349115 · on the registry since 2019
Practice
- Address
- 172 Spring St Sw
Concord, NC 28025 - Phone
- (704) 786-8722
- Organisation at this address
- The Serenity House, Inc.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-04-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina