| Jordan Lynn Sampogna, FNP | |
|
1725 New Hanover Medical Park Dr, Wilmington, NC 28403-5345 | |
| (910) 662-9300 | |
| (910) 662-9301 |
| Full Name | Jordan Lynn Sampogna |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 1725 New Hanover Medical Park Dr, Wilmington, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417680604 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | SAMP-4O65L (North Carolina) | Secondary |
| 363L00000X | Nurse Practitioner | 5016490 (North Carolina) | Primary |
| Entity Name | Novant Health Medical Group Coastal Region Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649865791 PECOS PAC ID: 2860809936 Enrollment ID: O20210408000285 |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Lynn Sampogna, FNP Po Box 936857, Atlanta, GA 31193-6857 Ph: (910) 662-9300 | Jordan Lynn Sampogna, FNP 1725 New Hanover Medical Park Dr, Wilmington, NC 28403-5345 Ph: (910) 662-9300 |
Travis Aaron Finkle, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2909 Market St, Wilmington, NC 28403 Phone: 910-687-4888 | |
Carolyn Jones, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2131 S 17th St, Wilmington, NC 28401 Phone: 910-667-2970 | |
Valerie Lynn Wegener, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8108b Market St, Wilmington, NC 28411 Phone: 910-341-3300 Fax: 910-251-2067 | |
Mrs. Shannon Boney Mathis, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1090 Medical Center Dr, Wilmington, NC 28401 Phone: 910-662-8550 Fax: 910-343-1924 | |
Nannette B Martin, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2131 S 17th St, Wilmington, NC 28401 Phone: 910-772-9202 Fax: 910-772-9452 | |
Elizabeth Granger, NNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2131 S 17th St, Wilmington, NC 28401 Phone: 910-667-2970 | |
Kelly B Miller, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2334 41st St, Wilmington, NC 28403 Phone: 910-641-4095 |