Provider Demographics
NPI:1386472256
Name:DOSS, JORDAN ALEXANDRIA (FNP, RN)
Entity type:Individual
Prefix:
First Name:JORDAN
Middle Name:ALEXANDRIA
Last Name:DOSS
Suffix:
Gender:F
Credentials:FNP, RN
Other - Prefix:
Other - First Name:JORDAN
Other - Middle Name:ALEXANDRIA
Other - Last Name:SNEAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5725 CRESTWICK WAY
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30040-0610
Mailing Address - Country:US
Mailing Address - Phone:681-360-3669
Mailing Address - Fax:
Practice Address - Street 1:2200 OLD HAMILTON PL
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30507-7892
Practice Address - Country:US
Practice Address - Phone:770-532-2066
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-23
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN328109363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily