JORDAN GIBBLE (NPI# 1447782354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447782354 |
| Entity Type | Individual |
| Full Name | JORDAN GIBBLE |
| Other Name | JORDAN FAYEN |
| Credential | FNP |
| Practice Address |
113 S Pine St Warsaw NC 28398-1924 |
| Practice Telephone | 9102937246 |
| Practice Fax Number | 9102678988 |
| Mailing Telephone | 9102937246 |
| Mailing Fax Number | 9102678988 |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2019-04-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
292012 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 925 N 4th St, Wilmington, NC 284013450 | 9103430270 |
| Street Address |
113 S PINE ST |
| City | WARSAW |
| State | NC |
| Zip Code | 28398-1924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063448231 | Abayomi S Adediran | Family Medicine | 113 S Pine St, Warsaw, NC 28398-1924 | 2006-06-22 |
| 1134765423 | Tateisha Lynelle Page | Physician Assistant | 113 S Pine St, Warsaw, NC 28398-1924 | 2019-11-21 |
| 1649397357 | Linda K Flowers | Nurse Practitioner | 113 S Pine St, Warsaw, NC 28398-1924 | 2007-03-26 |
| 1457477820 | Goshen Medical Center Incorporated | Clinic/Center | 113 S Pine St, Warsaw, NC 28398-1924 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659895985 | Jessica Lanier Gillen | Physical Therapy Assistant | 214 Lane Field Rd, Warsaw, NC 28398 | 2017-07-28 |
| 1023386190 | Afs of Warsaw, Inc. | Skilled Nursing Facility | 214 Lanefield Road, Warsaw, NC 28398 | 2011-12-05 |
| 1205195492 | Sovran Senior Living LLC | Assisted Living Facility | 214 Lanefield Rd, Warsaw, NC 28398 | 2012-05-09 |
| 1588736458 | William J Stoppelbein | Dentist | 121 Duplin Professional Court, Warsaw, NC 28398-0424 | 2006-11-15 |
| 1972650059 | Stoppelbein & Hardison, Dds Pa | Dentist | 121 Duplin Professional Court, Warsaw, NC 28398-0424 | 2007-01-04 |
| 1922170802 | Christopher D Hardison | Dentist | 121 Duplin Professional Court, Warsaw, NC 28398-0424 | 2006-11-15 |
| 1851423610 | Unified Nursing Care Service | Home Health | 103 W Chelly St, Warsaw, NC 28398-1332 | 2007-03-09 |
| 1467781898 | Omega Home Care Agency | Home Health | 213 E North St, Warsaw, NC 28398-1432 | 2009-12-14 |
| 1134669633 | Smarter Companion Care | Respite Care | 105 Clark Plz, Warsaw, NC 28398-1800 | 2017-03-02 |
| 1376552331 | Rai Care Centers of North Carolina II, LLC | Clinic/Center | 213 West College Street, Warsaw, NC 28398-1811 | 2006-08-07 |
| Find all providers in zip 28398 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437776796 | Brandi K Shepherd | Nurse Practitioner | 1315 Fisher Ave, Warsaw, IN 46580-4810 | 2020-07-02 |
| 1992331300 | Sadye Gonnella | Nurse Practitioner | 34 Dunkin Street, Warsaw, NY 14569 | 2020-03-17 |
| 1306275896 | Stephanie Wells | Nurse Practitioner | 1210 Provident Dr Ste B, Warsaw, IN 46580-3266 | 2013-11-05 |
| 1689820870 | Patricia L. Kinkead | Nurse Practitioner | 35391 Jackman Ave, Warsaw, MO 65355-6153 | 2008-08-07 |
| 1871537480 | Heather Joy Ward | Nurse Practitioner | 1500 Provident Drive, Ste A, Warsaw, IN 46580 | 2006-06-15 |
| 1821048117 | Vicky M. Beall | Nurse Practitioner | 302 W Main St, Warsaw, KY 41095-9304 | 2006-05-10 |
| 1699749523 | Carrie M Vangrol | Nurse Practitioner | 86 N Main St, Warsaw, NY 14569-1329 | 2006-02-15 |
| 1851902621 | Kristen M Bagot | Nurse Practitioner | 2101 Dubois Dr, Warsaw, IN 46580-3210 | 2020-08-13 |
| 1346878295 | Jacquelyn Janes | Nurse Practitioner | 400 N Main St, Warsaw, NY 14569-1025 | 2020-03-27 |
| 1184258782 | Michelle Mary Zeches O'neil | Nurse Practitioner | 400 N Main St, Warsaw, NY 14569-1025 | 2020-02-24 |
| Find all providers in WARSAW | ||||
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| 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.