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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JORDAN SPAKE, PA

Active

JORDAN SPAKE, PA is a Physician Assistant healthcare provider located in MOREHEAD CITY, North Carolina. NPI 1720679947 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · MOREHEAD CITY, NC

Registration Details

NPI Number
1720679947
Provider Type
Individual
Gender
Male
NPI Issued
Jan 30, 2021 (5.5321799274927 yrs)
Last Updated
Dec 22, 2023
License
001011918 (NC)

Practice Information

Address
3714 GUARDIAN AVE STE E
MOREHEAD CITY, NC, 285572975
Browse NC providers · Browse ZIP 28557
Phone
9103323800
Fax
9102510421
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in MOREHEAD CITY, NC

Name Credential NPI
MS. BARBARA JO BIZUB PA-C 1467458612
DAVID SCOTT BERTRAND PA-C 1093700676
MICHAEL HENRY CARTLEDGE PA-C 1073586590
MR. RICHARD RAPPAPORT PA 1336109065
CHRISTOPHER ALAN MILES PA-C 1821041849
STEVEN JAMES HUBER PA 1770681264
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.