| Robert James Jordan, FNP | |
|
120 Health Center Dr, Ahoskie, NC 27910-8161 | |
| (252) 332-3548 | |
| (252) 332-1665 |
| Full Name | Robert James Jordan |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 120 Health Center Dr, Ahoskie, 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 |
|---|---|---|---|
| 1336725050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 5014223 (North Carolina) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 5014223 (North Carolina) | Primary |
| Entity Name | Roanoke Chowan Community Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790851004 PECOS PAC ID: 7214983386 Enrollment ID: O20050428001071 |
| Entity Name | Living The Breamedical - Salisbury, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275291361 PECOS PAC ID: 1951784933 Enrollment ID: O20220824001984 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert James Jordan, FNP Po Box 669, Ahoskie, NC 27910-0669 Ph: (252) 209-0237 | Robert James Jordan, FNP 120 Health Center Dr, Ahoskie, NC 27910-8161 Ph: (252) 332-3548 |
Mrs. Susan T Hoggard, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 201 Colony Ave S, Ahoskie, NC 27910 Phone: 252-332-5041 Fax: 252-332-6115 | |
Renita Deloatch Smallwood, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 500 Academy St S, Ahoskie, NC 27910 Phone: 252-209-3385 | |
Jordan Alexandra Conner, FNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 120 Health Center Dr, Ahoskie, NC 27910 Phone: 252-332-3548 | |
Angela Miller, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Health Center Dr, Ahoskie, NC 27910 Phone: 252-332-3548 Fax: 252-332-1665 | |
Sarah Griffin, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 120 Health Center Dr, Ahoskie, NC 27910 Phone: 252-209-0237 | |
Carla Dee Cooper Eure, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 120 Health Center Dr, Ahoskie, NC 27910 Phone: 252-332-3548 |