Jordan Rudolph, is a
Health Educator based in Pittsboro, North Carolina. Jordan Rudolph is licensed to practice in North Carolina (license number 305980) and her current practice location is
47 S Parkside Dr, Pittsboro, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(479) 530-5761.
NPI number for Jordan Rudolph is 1740748698 and her current mailing address is 47 S Parkside Dr, Pittsboro, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1740748698.
Provider's Profile
Full Name | Jordan Rudolph |
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Gender | Female |
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Speciality | Health Educator |
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Location | 47 S Parkside Dr, Pittsboro, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1740748698
- Provider Enumeration Date: 03/11/2019
- Last Update Date: 03/11/2019
Medical Identifiers
Medical identifiers for Jordan Rudolph such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1740748698 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 305980 (North Carolina) | Secondary |
174H00000X | Health Educator | 305980 (North Carolina) | 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 Rudolph 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 Rudolph, 47 S Parkside Dr, Pittsboro, NC 27312-6062 Ph: () - | Jordan Rudolph, 47 S Parkside Dr, Pittsboro, NC 27312-6062 Ph: (479) 530-5761 |
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