Provider Demographics
NPI:1255994315
Name:REASOR, JORDAN EMILY (MD)
Entity type:Individual
Prefix:DR
First Name:JORDAN
Middle Name:EMILY
Last Name:REASOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5820 FARRINGTON RD APT 304
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-7012
Mailing Address - Country:US
Mailing Address - Phone:813-957-4347
Mailing Address - Fax:
Practice Address - Street 1:100 DUKE HEALTH CARY PL STE 210
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27519-6760
Practice Address - Country:US
Practice Address - Phone:919-385-4650
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-15
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2022-00987208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty