Provider Demographics
NPI:1669810149
Name:STATON, JORDAN PREISS (MD)
Entity type:Individual
Prefix:DR
First Name:JORDAN
Middle Name:PREISS
Last Name:STATON
Suffix:
Gender:
Credentials:MD
Other - Prefix:DR
Other - First Name:JORDAN
Other - Middle Name:RAY
Other - Last Name:PREISS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:24 MEDICAL PARK DR
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-2493
Mailing Address - Country:US
Mailing Address - Phone:828-277-7727
Mailing Address - Fax:
Practice Address - Street 1:24 MEDICAL PARK DR
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-2493
Practice Address - Country:US
Practice Address - Phone:828-277-7727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-06
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN65621207V00000X, 207V00000X
FLME130417207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics