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NPI Code Detail

MEDICARE: ROBYN JORDAN MD PHD PLLC

MEDICARE: ROBYN JORDAN MD PHD PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM2500XMedical Specialty Clinic/Center

General Provider Information

NPI Number : 1629879127
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROBYN JORDAN MD PHD PLLC
Provider Business Mailing Address
First Line : 8024 GLENWOOD AVE STE 305
Second Line :
City : RALEIGH
State : NC
Zip : 27612-1952
Country : US
Telephone Number : 919-205-9848
Fax Number :
Provider Business Practice Location Address
First Line : 8024 GLENWOOD AVE STE 305
Second Line :
City : RALEIGH
State : NC
Zip : 27612-1952
Country : US
Telephone Number : 919-205-9848
Fax Number :
Authorized Official
Title or Position : OWNER
Name : ROBYN JORDAN
Credential : MD
Telephone Number : 919-205-9848
Provider Enumeration Date : 03/20/2025
Last Update Date : 09/15/2025

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