Search › North Carolina › 1041C0700X
Jordan Rudolph
NPI 1932550662 · on the registry since 2016 · sole proprietor
Practice
- Address
- 5700 Executive Center Dr
Charlotte, NC 28212 - Phone
- (704) 525-3255
- Organisation at this address
- Monarch
Monarch
Monarch
Easterseals Ucp
Easterseals UcpInferred from a shared address, not stated in the registry. - Clinicians at this address
- 36
Additional practice sites
- 902 S Myrtle Ave, Monrovia, CA
- 3455 Percy St, Los Angeles, CA
- 3455 Percy St, Los Angeles, CA
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101Y00000X
101YM0800X
104100000X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-02-15
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