Jordan Nivens's National Provider Identifier (NPI) Details
Jordan Nivens,
NPI: 1245528744
Enumeration Date: 2011-07-18
Last updated: 2013-07-24
Sole Proprietor: NO
Status: active
Postal Address: 2129 STATESVILLE BLVD, SALISBURY, NC
Phone: 704-633-3616
Primary Practice Address: 220 E. FIRST AVE. EXTENSION, SUITE 10, LEXINGTON, NC
Practice's phone: 336-242-2450