STEPHANIA BLAKLEY JORDAN

WILMINGTON, NC
NPI1427366160
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NC  5004838)
Enumeration Date2010-09-15
Last Update Date2013-10-09
Business Address
-- STEPHANIA BLAKLEY JORDAN FNP
5617 MAXWELL PL
WILMINGTON, NC 28409-2966
Phone number: 910-742-9243
Mailing Address
-- STEPHANIA BLAKLEY JORDAN FNP
PO BOX 16310
WILMINGTON, NC 28408-6310
Phone number: 910-742-9243