Provider Demographics
NPI:1467269548
Name:SEARFOSS, JORDAN MARIE (FNP-C)
Entity type:Individual
Prefix:
First Name:JORDAN
Middle Name:MARIE
Last Name:SEARFOSS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:JORDAN
Other - Middle Name:MARIE
Other - Last Name:KNIPE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4164 WOODSON WAY
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29485-9324
Mailing Address - Country:US
Mailing Address - Phone:484-934-4866
Mailing Address - Fax:
Practice Address - Street 1:4164 WOODSON WAY
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29485-9324
Practice Address - Country:US
Practice Address - Phone:484-934-4866
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-12
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC29754363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily