Roberson, Jordan
Roberson, Jordan is an sole proprietor health care provider with primary practice located at 725 W Granada Blvd Ste 30 , Ormond Beach FL 32174-9406. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Roberson, Jordan can be contacted via phone (386) 238-9095.Contact Information
Primary practice address
725 W Granada Blvd Ste 30
Ormond Beach FL 32174-9406
Phone: (386) 238-9095
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 9410928 | Florida |
Profile Details
| NPI number | 1669965000 |
|---|---|
| LBN Legal business name | Roberson, Jordan |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 11th, 2018 |
| Last updated | Jun 10th, 2024 - about 2 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 | 1669965000 | NPPES |
| Florida | MEDICAID | 100175900 |
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