MS. STEPHANIE GOULD JORDAN (NPI# 1831172030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831172030 |
| Entity Type | Individual |
| Full Name | MS. STEPHANIE GOULD JORDAN |
| Credential | NP |
| Practice Address |
2500 Summit Ave Greensboro NC 27405-4522 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 3366212500 |
| Mailing Telephone | 3364758121 |
| Mailing Fax Number | 3364755377 |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2019-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 600122 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
600122 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | P00385661 | 01 | |
| NC | 7004154 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 207 Old Lexington Rd, Thomasville, NC 273603428 | 3364758121 | 3364755377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962016972 | Stephanie Lynn Jordan | Technician | 7410 W Warren Cir Apt 1205, Lakewood, CO 80227-2695 | 2020-09-07 |
| 1477180826 | Stephanie Jordan | Nurse Practitioner | 22 Cranberry Rd, Plymouth, MA 02360-2857 | 2020-03-25 |
| 1942869318 | Stephanie Jordan | Counselor | 16 Center St Ste 517, Northampton, MA 01060 | 2019-06-10 |
| 1720495260 | Stephanie Jordan | Contractor | 9500 Campcreek Rd, Lucasville, OH 45648 | 2014-07-16 |
| 1598809576 | Stephanie Jordan | Psychologist | 7390 W Sahara Ave, Suite 235, Las Vegas, NV 89117-2763 | 2007-02-16 |
| 1669958419 | Stephanie Elizabet Jordan | Counselor | 44 Good Counsel Dr, Mankato, MN 56001-6599 | 2018-07-16 |
| 1730686411 | Stephanie R Jordan | Social Worker | 13422 Kinsman Rd, Cleveland, OH 44120-4410 | 2018-04-10 |
| 1548662067 | Stephanie Lynn Jordan | Speech-Language Pathologist | 185 Charlois Blvd, Winston Salem, NC 27103 | 2014-09-16 |
| 1972918779 | Stephanie F Jordan | Nurse Practitioner | 6400 E Broad St, Suite 200, Columbus, OH 43213-1505 | 2014-07-01 |
| 1730590449 | Stephanie Jordan | Counselor | 861 Corporate Dr Ste 101, Lexington, KY 40503-5432 | 2014-05-15 |
| Street Address |
2500 SUMMIT AVE |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27405-4522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265432447 | Donald Edward Hertweck | Internal Medicine | 2500 Summit Ave, Greensboro, NC 27405-4522 | 2005-07-28 |
| 1023664026 | Kathryn Mckelvey Smith | Nurse Practitioner | 2500 Summit Ave, Greensboro, NC 27405-4522 | 2019-08-15 |
| 1841758422 | Livina Eshiet | Registered Nurse | 2500 Summit Ave, Greensboro, NC 27405-4522 | 2019-03-04 |
| 1275028912 | Amy Katherine Daniels | Registered Nurse | 2500 Summit Ave, Greensboro, NC 27405-4522 | 2018-06-26 |
| 1366932170 | Mary Elizabeth Serpe | Nurse Practitioner | 2500 Summit Ave, Greensboro, NC 27405-4522 | 2018-05-16 |
| 1457615569 | Anita Colleen Coady | Nurse Practitioner | 2500 Summit Ave, Greensboro, NC 27405-4522 | 2012-07-03 |
| 1184891533 | Marion M Taylor | Nurse Practitioner | 2500 Summit Ave, Greensboro, NC 27405-4522 | 2008-05-14 |
| 1295930790 | Kimberly Goldstein | Counselor | 2500 Summit Ave, Greensboro, NC 27405-4522 | 2007-06-15 |
| 1750464665 | Betsy Jones Walker | Family Medicine | 2500 Summit Ave, Greensboro, NC 27405-4522 | 2006-10-23 |
| 1255412946 | Tomasita Rivera Jacubowitz | Nurse Practitioner | 2500 Summit Ave, Greensboro, NC 27405-4522 | 2006-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477038727 | Miya Jackson | Behavior Technician | 2308 Golden Gate Dr, Apt G, Greensboro, NC 27405 | 2018-10-02 |
| 1821576299 | Woodrow Eric Bradley | Day Training/Habilitation Specialist | 1403 Woocbriar Ave, Greensboro, NC 27405 | 2018-07-30 |
| 1922593094 | Constance Foushee | Nurse Practitioner | 1100 E. Wendover, Greensboro, NC 27405 | 2018-06-29 |
| 1760972434 | Ayana Linette Holland | Home Health Aide | 1417 Old Hickory Dr, Greensboro, NC 27405 | 2018-05-17 |
| 1790294700 | G. Antoine Gray | Specialist | 2100 Phillips Avenue, Suite B, Greensboro, NC 27405 | 2017-09-21 |
| 1306375910 | Wendy Carisa Boger | Registered Nurse | 1100 East Wendover Avenue, Greensboro, NC 27405 | 2017-06-07 |
| 1659827715 | Changing Paths Counseling Center Pllc | Community/Behavioral Health | 1600 E Wendoer Ave., Suite C, Greensboro, NC 27405 | 2016-08-29 |
| 1295187896 | Amanda Kirby Counseling, PC | Counselor | 1175 Revolution Mill Drive, Suite 29-2, Greensboro, NC 27405 | 2016-07-07 |
| 1780049429 | Pta | Residential Treatment Facility, Physical Disabilities | 1900 Sheldon Road, Greensboro, NC 27405 | 2015-12-23 |
| 1841655644 | Amaya Nicole Hardy | Counselor | 1600r E Wendover Ave Ste R, Greensboro, NC 27405 | 2015-12-21 |
| Find all providers in zip 27405 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235789793 | Sarah Clegg Slack | Nurse Practitioner | 912 3rd St # 101, Greensboro, NC 27405-6967 | 2019-09-17 |
| 1881243558 | Kathryn Strup | Nurse Practitioner | 1317 N Elm St Ste 7, Greensboro, NC 27401-1023 | 2019-09-05 |
| 1174989792 | Elysa C. Graham | Nurse Practitioner | 1919 Boulevard St Ste A, Greensboro, NC 27407-4595 | 2016-01-12 |
| 1588033195 | Maria S. Gaddy | Nurse Practitioner | 1000 Cowles Clinc Way Ste M-200, Greensboro, GA 30642-4541 | 2015-09-24 |
| 1689042038 | Caroline Tedder Hacker | Nurse Practitioner | 300 E Wendover Ave, Suite 400, Greensboro, NC 27401-1229 | 2015-09-02 |
| 1659700177 | Jerry Keith Edwards | Nurse Practitioner | 501 Hickory Branch Rd, Greensboro, NC 27409-9601 | 2013-11-05 |
| 1609185255 | Yolanda Mcclam Nicholson | Nurse Practitioner | 112 N Benbow Road, Greensboro, NC 27411-7299 | 2010-09-30 |
| 1740594357 | Karen M Black | Nurse Practitioner | 1200 N Elm St Ste 3509, Greensboro, NC 27401-1004 | 2010-08-06 |
| 1235397738 | Russell Lee Welch | Nurse Practitioner | 510 N.elam Ave, Ste 302, Greensboro, NC 27403 | 2008-05-30 |
| 1174614259 | Vrinda Villa Pickering | Nurse Practitioner | 1200 North Elm Street, Greensboro, NC 27401-1004 | 2006-09-27 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27405 |
Please comment or provide details below to improve the information on MS. STEPHANIE GOULD 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.