Provider Demographics
NPI:1033530175
Name:JORDAN-CHOATE CONSULTANT SERVICES, PLLC
Entity Type:Organization
Organization Name:JORDAN-CHOATE CONSULTANT SERVICES, PLLC
Other - Org Name:STANDOUT STANDIN STAFFING SPECIALIST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:JORDAN-CHOATE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-973-0828
Mailing Address - Street 1:201 W MAIN ST
Mailing Address - Street 2:SUITE #355
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27701-3228
Mailing Address - Country:US
Mailing Address - Phone:919-973-0828
Mailing Address - Fax:
Practice Address - Street 1:201 W MAIN ST
Practice Address - Street 2:SUITE #355
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27701-3228
Practice Address - Country:US
Practice Address - Phone:919-973-0828
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-16
Last Update Date:2013-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNP4637251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care