Jordan, Caitlin A

Jordan, Caitlin A is an individual health care provider with primary practice located at 101 Chapman Hill Rd Ste 201 , Clemson SC 29631-2194. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Jordan, Caitlin A can be contacted via phone (864) 653-4071.

Contact Information

Primary practice address
101 Chapman Hill Rd Ste 201 Clemson SC 29631-2194
Phone: (864) 653-4071
Fax: (864) 653-4074
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 17820 South Carolina

Profile Details

NPI number 1942562244
LBN Legal business name Jordan, Caitlin A
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2012
Last updated Jun 1st, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942562244 NPPES
South Carolina MEDICAID NP2234
South Carolina Other SC6459

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