Jordan Doetsch, NP
Nurse Practitioner, Family in Jacksonville, North Carolina
1649917956- Practice location
- 120 Memorial Dr, Jacksonville, NC 28546-6328
- Phone
- 910-353-0581
- Fax
- 910-577-1150
- Last updated
- November 3, 2023
Jordan Doetsch is a Nurse Practitioner, Family based in Jacksonville, NC. Jordan Doetsch practices in Jacksonville, NC and has the professional credentials of NP. The NPI Number for Jordan Doetsch is 1649917956 and holds a License No. 5016211 (NC). The current practice location address for Jordan Doetsch is 120 Memorial Dr, Jacksonville, NC 28546-6328 and can be reached out via phone at 910-353-0581 and via fax at 910-577-1150.
Provider Profile Details
- NPI Number
- 1649917956
- Provider Name
- Jordan Doetsch
- Credential
- NP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 120 Memorial Dr, Jacksonville, NC 28546-6328
- Phone Number
- 910-353-0581
- Fax Number
- 910-577-1150
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 18, 2022
- Last Update Date
- November 3, 2023
- Certification Date
- November 3, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 120 Memorial Dr
Jacksonville, NC 28546-6328 - City
- Jacksonville
- State
- North Carolina
- Zip
- 28546-6328
- Phone Number
- 910-353-0581
- Fax Number
- 910-577-1150
Provider Business Mailing Address Details
- Address
- Po Box 986513
Boston, MA 02298-6513 - City
- Boston
- State
- MA
- Zip
- 02298-6513
- Phone Number
- 910-219-8326
- Fax Number
- 910-939-4269
License Information
- License Number
- 5016211
- License State
- NC
- Taxonomy
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Family providers near Jacksonville, NC
View all Nurse Practitioner, Family providers in Jacksonville →- Karen A Chavis, FNP-CNurse Practitioner, Family · NPI 1881247708
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- Leah C Fitzgerald, FNP-BCNurse Practitioner, Family · NPI 1043987852
- Marsha C Hull, FNPNurse Practitioner, Family · NPI 1699274050
- Michael R Porcheron, FNPNurse Practitioner, Family · NPI 1588212997
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Frequently Asked Questions
What is the NPI number of Jordan Doetsch, NP?
The NPI number of Jordan Doetsch, NP is 1649917956. It was assigned on May 18, 2022 and is currently active in the NPPES registry.
What is the specialty of Jordan Doetsch, NP?
Jordan Doetsch, NP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NC under license number 5016211.
Where does Jordan Doetsch, NP practice?
The practice location is 120 Memorial Dr, Jacksonville, NC 28546-6328. The office can be reached at 910-353-0581 (phone) or 910-577-1150 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1649917956 directly on the NPPES registry website.