Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lilly Nicole Jordan, MD

Individual provider Pediatrics Physician · NPI 1669176806

Lilly Nicole Jordan, MD is a Pediatrics Physician in Greenville, South Carolina. Licensed in South Carolina. Registered with an NPI since 2023.

Licensed in
SC
In the registry since
2023
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

701 Grove Rd
Greenville, SC 29605-4295
Phone: (864) 455-7844
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence LL94438 (SC)
Pediatrics Physician Taxonomy 208000000X · Licence LL94438 (SC)

Record details

NPI number1669176806
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 30, 2023
Last updated in NPPESJuly 29, 2025
Certification dateJuly 29, 2025

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