Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMUEL JORDAN
Active Sole ProprietorSAMUEL JORDAN is a Community Health Worker healthcare provider located in BELMONT, North Carolina. NPI 1770931859 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · BELMONT, NC
Registration Details
- NPI Number
- 1770931859
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 30, 2016 (10.250618548147 yrs)
- Last Updated
- May 30, 2016
- Sole Proprietor
- Yes
Practice Information
- Address
-
1541 S POINT RDBELMONT, NC, 280128544Browse NC providers · Browse ZIP 28012
- Phone
- 7047134328
- Primary Specialty
-
Community Health Worker
172V00000X
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.