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General NPI Number Information
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NPI Number | 1558106237
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Entity Type | Individual
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Provider Name | JORDAN ELIZABETH SCEARCE FNP
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Gender | Female
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Dates
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Enumeration Date | 06/26/2024
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Last Update Date | 06/02/2026
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Provider Practice Location Address
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Address Line | 1818 RICHARDSON DR STE F
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City | REIDSVILLE
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State | NC
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Zip | 27320-5450
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Country | US
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Telephone | 336-951-6160
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Fax | 336-951-6171
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Provider Business Mailing Address
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Address Line | 1007 WALKER AVE
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City | GREENSBORO
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State | NC
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Zip | 27403
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Country | US
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Telephone | 434-250-9849
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 280219
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5023350
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5023350
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License Number State | NC
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