Ambrosha Nicole Jordan, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

196518 Issued in NC

Practice address

3626 Latrobe Dr
Charlotte, NC 28211-1388

Phone

(704) 366-7182

Fax

(704) 366-7184

NPI assigned

Mar 12, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ambrosha Nicole Hill Former name

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Faith Medical Center P.C.

  • Clinic/Center
  • Charlotte, NC
  • NPI 1992947766
  Medicare reassignment NPD
• Hope Mills Urgent Care & Medical Clinic, PLLC

  • Internal Medicine Physician
  • Hope Mills, NC
  • NPI 1114134293
  Medicare reassignment NPD
• North State Medical Group, P.a.

  • Family Medicine Physician
  • Denver, NC
  • NPI 1629024138
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564099200000",
    "number": "1700027307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2266 N HIGHWAY 16",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280378254",
            "telephone_number": "704-483-2200",
            "fax_number": "704-483-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3626 LATROBE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111388",
            "telephone_number": "704-366-7182",
            "fax_number": "704-366-7184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2266 N Highway 16",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "NC",
            "postal_code": "280378254",
            "country_code": "US",
            "telephone_number": "704-483-2200",
            "fax_number": "704-483-2214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "AMBROSHA",
        "middle_name": "NICOLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-12",
        "last_updated": "2019-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "196518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC LICENSE",
            "identifier": "196518",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBROSHA",
            "last_name": "HILL",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jonjulie Home Health Services LLC (Confidence Home Health Services)
• Krishnamurthy V. Jonnalagadda, MD
• Jonoga, LLC
• Patricia Joplin
• Tiffany Joralemon
• Aundrea Z. Jordan, CRNA
• Chadrick H Jordan
• Diane Maxine Jordan, LPCA
• Jasmine Jordan, PA
• John Jordan

• Family Nurse Practitioner in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.