Jordan, Stephanie Gould

Jordan, Stephanie Gould is an individual health care provider with primary practice located at 2500 Summit Ave , Greensboro NC 27405-4522. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Jordan, Stephanie Gould can be contacted via phone (336) 621-2500.

Contact Information

Primary practice address
2500 Summit Ave Greensboro NC 27405-4522
Phone: (336) 621-2500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 600122 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 600122 North Carolina

Profile Details

NPI number 1831172030
LBN Legal business name Jordan, Stephanie Gould
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Oct 24th, 2023 - about 3 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 1831172030 NPPES
Other P00385661 RAILROAD MEDICARE
MEDICAID 7004154 RAILROAD MEDICARE

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