Most Relevant Information
Provider Data
| NPI Number: | 1003270042 |
| Provider Name: | JORDAN MCKENZIE-SOLIS APRN, AGACNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2100X |
| Specialty: | Nurse Practitioner |
| License Number: | 5008488 |
Most Important Dates
| Enumeration Date: | 04/06/2016 |
| Last Updated: | 03/12/2023 |
Provider Practice Location
2301 ERWIN RD
DURHAM
NC
277102818
Practice Location Phone/Fax
| Phone: | 9196848111 |
| Fax: |
Provider Mailing Location
3333 PROSPECT PKWY
DURHAM
NC
277038359
Provider Mailing Phone/Fax
| Phone: | 7065362380 |
| Fax: |