MS. RASHADAH JORDAN NPI 1275197980

NPI Information

NPI: 1275197980
Provider Name: MS. RASHADAH JORDAN
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
2350 BENTRIDGE LN # 301
FAYETTEVILLE, NC
ZIP 28304
Phone: (107) 480-2619
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MS. Rashadah Jordan is a medical physician assistant in Fayetteville, NC. MS. Rashadah Jordan NPI is 1275197980. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2350 BENTRIDGE LN # 301
FAYETTEVILLE, NC
ZIP 28304-590
Phone: (107) 480-2619

The NPI 1275197980 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 4/29/2019 and was last updated on 1/16/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	0010-13624	NORTH CAROLINA	Yes
2	363A00000X	Physician Assistant		PA13745	TEXAS	No
3	363AM0700X	Physician Assistant	Medical	PA13745	TEXAS	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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