Healthcare Provider Details

I. General information

NPI: 1245147024
Provider Name (Legal Business Name): JORDANA HOPE SWEENEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

806 SOUTH VANCE STREET
SANFORD NC
27330
US

IV. Provider business mailing address

806 SOUTH VANCE STREET
SANFORD NC
27330
US

V. Phone/Fax

Practice location:
  • Phone: 919-897-5400
  • Fax:
Mailing address:
  • Phone: 919-897-5400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number30005575
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: