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Mrs. Miranda Lyalls Jordan, FNP
Family Nurse Practitioner in Jefferson, North Carolina
NPI 1457824393

Miranda Lyalls Jordan is a Family Nurse Practitioner based in Jefferson, NC and is specialized in Family. Miranda Lyalls Jordan practices in Jefferson, NC and has the professional credentials of FNP. The NPI Number for Miranda Lyalls Jordan is 1457824393 and holds a License No. 5011326 (North Carolina).

The current practice location address for Miranda Lyalls Jordan is 310 Hospital Ave, Jefferson, NC and can be reached out via phone at 336-846-6322.

Location: 310 Hospital Ave, Jefferson, NC, 28640-9043
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457824393
Provider Name
Miranda Lyalls Jordan
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
310 Hospital Ave, Jefferson, NC, 28640-9043
Phone Number
336-846-6322
Fax Number
Provider Enumeration Date
01/03/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1619907334 05 NC
institution
Provider Business Practice Location Address Details
Address
310 Hospital Ave
City
Jefferson
State
North Carolina
Zip
28640
Phone Number
336-846-6322
Fax Number
person
Provider Business Mailing Address Details
Address
310 Hospital Ave
City
Jefferson
State
North Carolina
Zip
28640
Phone Number
336-846-6322
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
5011326 (North Carolina)
Definition
Definition to come...
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