Search › North Carolina › 1041C0700X
Derrick Jordan
NPI 1194039099 · on the registry since 2010
Practice
- Address
- 311 Mcbee St
Lincolnton, NC 28092 - Phone
- (704) 986-1500
- Organisation at this address
- Monarch
Support Incorporated
Alexander Youth Network
Footprints Carolina, IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 9
Additional practice sites
- 1850 Pineview Dr, Columbia, SC
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 390200000X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-06-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina