Jordan Nicole Church, LAT, ATC is a
Emergency Medicine - Sports Medicine physician based in Auburn, Alabama. Jordan Nicole Church is licensed to practice in Alabama (license number 2050) and her current practice location is 188 S Donahue Dr, Auburn, Alabama. She can be reached at her office (for appointments etc.) via phone at
(737) 718-3795.
NPI number for Jordan Nicole Church is 1609461854 and her current mailing address is 2260 E University Dr Apt 4g, Auburn, Alabama. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1609461854.
Physician's Profile
Full Name | Jordan Nicole Church |
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Gender | Female |
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Speciality | Emergency Medicine - Sports Medicine |
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Location | 188 S Donahue Dr, Auburn, Alabama |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1609461854
- Provider Enumeration Date: 03/09/2021
- Last Update Date: 03/09/2021
Medical Identifiers
Medical identifiers for Jordan Nicole Church such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1609461854 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207PS0010X | Emergency Medicine - Sports Medicine | 2050 (Alabama) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jordan Nicole Church is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jordan Nicole Church, LAT, ATC 2260 E University Dr Apt 4g, Auburn, AL 36830-3341 Ph: (734) 718-3795 | Jordan Nicole Church, LAT, ATC 188 S Donahue Dr, Auburn, AL 36849-5513 Ph: (737) 718-3795 |
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