IndividualActive
Amos Jordan
NPI 1114875374 · Prosthetics Case Management · Knightdale, NC
Provider details
- NPI number
- 1114875374
- Entity type
- Individual
- Primary specialty
- Prosthetics Case ManagementOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- C20217 (NC)
Specialties & taxonomies
Other Service Providers
Practice location
1110 Cannonball Run Apt 206
Knightdale, NC 27545-6655
Phone: (301) 633-0510
Approximate (ZIP-level) locationGet directions
Mailing address
1110 Cannonball Run Apt 206
Knightdale, NC 27545-6655
Registry dates
- Enumerated
- 2026-03-20
- Last updated
- 2026-03-20
- Certified
- 2026-03-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.