STEPHANIA BLAKLEY JORDAN (NPI# 1427366160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427366160 |
| Entity Type | Individual |
| Full Name | STEPHANIA BLAKLEY JORDAN |
| Credential | FNP |
| Practice Address |
5617 Maxwell Pl Wilmington NC 28409-2966 |
| Mailing Address |
Po Box 16310 Wilmington NC 28408-6310 |
| Practice Telephone | 9107429243 |
| Practice Fax Number | 8887461787 |
| Mailing Telephone | 9107429243 |
| Mailing Fax Number | 8887461787 |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2013-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5004838 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7004561 | 05 |
| Street Address |
5617 MAXWELL PL |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28409-2966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730171109 | Ronny Eric Wright Jr. | Psychologist | 5617 Maxwell Pl, Wilmington, NC 28409-2966 | 2005-08-22 |
| 1578979985 | Stephen Francis Mceachen | Psychologist | 5617 Maxwell Pl, Wilmington, NC 28409-2966 | 2014-07-07 |
| 1114332343 | Susan R Leonard | Psychologist | 5617 Maxwell Pl, Wilmington, NC 28409-2966 | 2014-06-26 |
| 1235425323 | Maryann Catherine Richardson | Nurse Practitioner | 5617 Maxwell Pl, Wilmington, NC 28409-2966 | 2011-06-27 |
| 1154629186 | Heather D Finney | Psychologist | 5617 Maxwell Pl, Wilmington, NC 28409-2966 | 2011-02-28 |
| 1245549021 | Lois H Reed | Psychologist | 5617 Maxwell Pl, Wilmington, NC 28409-2966 | 2010-09-28 |
| 1841504388 | Regina Lynette Mcconley | Psychologist | 5617 Maxwell Pl, Wilmington, NC 28409-2966 | 2010-07-26 |
| 1609109586 | David Glenn Yarborough IIi | Psychologist | 5617 Maxwell Pl, Wilmington, NC 28409-2966 | 2009-09-10 |
| 1730335449 | Stevan Michael Clifton | Physician Assistant | 5617 Maxwell Pl, Wilmington, NC 28409-2966 | 2008-08-13 |
| 1013083146 | Lionel Gregory Fernando | Psychiatry & Neurology | 5617 Maxwell Pl, Wilmington, NC 28409-2966 | 2006-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952916728 | Emily Savannah Holland | Specialist/Technologist | 1150 King's Hwy, Wilmington, NC 28409 | 2020-09-09 |
| 1912373465 | Thomas Malenfant | Hearing Instrument Specialist | 474 New Centre Drive, #6, Wilmington, NC 28409 | 2015-08-19 |
| 1720482862 | Leslie Morton Garris | Pharmacist | 6013 Chancellorville Drive, Wilmington, NC 28409 | 2014-10-17 |
| 1659621720 | Charles Warren Moorehead | Social Worker | 5710 Oleander Dr. Suite 208, Wilmington, NC 28409 | 2012-09-14 |
| 1992972020 | Nancy Beth Kotz | Social Worker | 6211 Terrapin Ct, Wilmington, NC 28409 | 2008-05-08 |
| 1366611089 | Michael Royce Penland | Psychologist | 5002-1 Hewletts Run, Wilmington, NC 28409 | 2008-02-27 |
| 1184755092 | Keith W Mann | Dentist | 818-101 Pine Grove Drive, Wilmington, NC 28409 | 2007-03-09 |
| 1477650554 | Jeffrey Beecham Chick | Specialist | 1201 Porches Dr, Suite 2, Wilmington, NC 28409 | 2006-09-20 |
| 1407964067 | Richard A. Lally | Counselor | 5425 Golden Eagle Court, Wilmington, NC 28409 | 2006-08-25 |
| 1598290520 | Monaca Lachman | Counselor | 6020 Leeward Ln, Wilmington, NC 28409-0129 | 2017-04-27 |
| Find all providers in zip 28409 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609488428 | Samantha Kuhlman | Nurse Practitioner | 1509 Doctors Cir Bldg C, Wilmington, NC 28401-7403 | 2020-08-21 |
| 1023630290 | Carole King Stevenson | Nurse Practitioner | 1111 Figueroa Pl # Tech115, Wilmington, CA 90744-2311 | 2020-05-11 |
| 1962031039 | Jasmine Marie Locklear | Nurse Practitioner | 2550 41st St, Wilmington, NC 28403-5519 | 2020-04-02 |
| 1811558422 | Emma Rose Boisvert I | Nurse Practitioner | Deerfield Valley Health Center, 30 Route 100 South, Wilmington, VT 05363-0536 | 2019-06-25 |
| 1922569482 | Joy Peterson | Nurse Practitioner | 1815 W 13th St Ste 1, Wilmington, DE 19806-4054 | 2019-03-27 |
| 1104382308 | Caitlin Gallagher | Nurse Practitioner | 608 Dawson St Ste 103, Wilmington, NC 28401-5712 | 2019-02-13 |
| 1407344476 | Adelle Grant-mcauley | Nurse Practitioner | 3521 Silverside Rd., Quillen Building Suite 2j, Wilmington, DE 19810 | 2018-04-25 |
| 1538674767 | Angela M Mcnulty | Nurse Practitioner | 3521 Silverside Rd Ste 1c, Wilmington, DE 19810-4900 | 2017-12-11 |
| 1851804694 | Laura Jean Cornelis | Nurse Practitioner | 908b East 16th Street, Wilmington, DE 19802 | 2017-11-15 |
| 1952825168 | Alicia Camille Vogleson | Nurse Practitioner | 2601 Annand Dr Ste 3, Wilmington, DE 19808-3719 | 2017-07-29 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28409 |
Please comment or provide details below to improve the information on STEPHANIA BLAKLEY JORDAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.