| Jordan Doetsch, NP | |
|
120 Memorial Dr, Jacksonville, NC 28546-6328 | |
| (910) 353-0581 | |
| (910) 577-1150 |
| Full Name | Jordan Doetsch |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 120 Memorial Dr, Jacksonville, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649917956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 5016211 (North Carolina) | Primary |
| Entity Name | Jacksonville Children's And Multispecialty Clinic, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164519070 PECOS PAC ID: 6709968811 Enrollment ID: O20080129000277 |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Doetsch, NP Po Box 986513, Boston, MA 02298-6513 Ph: (910) 219-8326 | Jordan Doetsch, NP 120 Memorial Dr, Jacksonville, NC 28546-6328 Ph: (910) 353-0581 |
Amber Morgan Autry, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 317 Western Blvd, Jacksonville, NC 28546 Phone: 910-577-2345 | |
Elizabeth B Roberts, FNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 461 Western Blvd Ste 122, Jacksonville, NC 28546 Phone: 910-333-0283 Fax: 910-333-0513 | |
Stephanny Parker, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 Tarpon Trl, Jacksonville, NC 28546 Phone: 910-938-1114 Fax: 910-938-1118 | |
Leah Christine Fitzgerald, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 114a Memorial Dr, Jacksonville, NC 28546 Phone: 910-353-0700 Fax: 910-353-5305 | |
Michelle L Snyder, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 152 Memorial Ct, Jacksonville, NC 28546 Phone: 910-346-3976 Fax: 910-353-0600 | |
Paula Johnson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 612 College St, Jacksonville, NC 28540 Phone: 910-347-2154 Fax: 910-347-5227 | |
Nicole Wirth Harry, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1703 Country Club Rd, Suite 204, Jacksonville, NC 28546 Phone: 910-347-3010 |