Jordan, Terri Lee
Jordan, Terri Lee is an sole proprietor health care provider with primary practice located at 919 E Main St Ste 1000 , Richmond VA 23219-4623. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Jordan, Terri Lee can be contacted via phone (804) 729-6904.Contact Information
Primary practice address
919 E Main St Ste 1000
Richmond VA 23219-4623
Phone: (804) 729-6904
Fax: (855) 737-5542
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 0024166231 | Virginia |
Profile Details
| NPI number | 1134175979 |
|---|---|
| LBN Legal business name | Jordan, Terri Lee |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 25th, 2006 |
| Last updated | Apr 22nd, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134175979 | NPPES |
| Virginia | MEDICAID | 010199786 |
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