Healthcare Provider Details

I. General information

NPI: 1427976125
Provider Name (Legal Business Name): JORDAN NICOLE LAUGHTER FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

61 LOGAN ST
MARION NC
28752-2856
US

IV. Provider business mailing address

61 LOGAN ST
MARION NC
28752-2856
US

V. Phone/Fax

Practice location:
  • Phone: 828-559-1044
  • Fax: 833-731-0378
Mailing address:
  • Phone: 828-559-1044
  • Fax: 833-731-0378

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number5024860
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: