Search › North Carolina › 101YP2500X
Phillip Jordan
NPI 1790054708 · on the registry since 2011
Practice
- Address
- 1430 Willow Ln
Westpark C61-2 N
North Wilkesboro, NC 28659 - Phone
- (704) 939-1100
- Fax
- (704) 939-1173
- Organisation at this address
- New River Service Authority
New River Mental Health CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 28
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101Y00000X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-05-25
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