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

Mrs. Jordan Michalea Farewell

Individual provider Nurse Practitioner · NPI 1255117719

Mrs. Jordan Michalea Farewell is a Nurse Practitioner in Rocky Point, North Carolina. Qualified in 2023, 3 years ago. Practices with Novant Health Medical Group Coastal Region LLC, a 576-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
3
Licensed in
NC
In the registry since
2023
Specialties on file
2

Practice location Address checks out

7910 US Hwy 117 S Unit 120
Rocky Point, NC 28457-7409
Phone: (910) 300-4500
Fax: (910) 550-3787
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5018925 (NC)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence FARE-3C9AF (NC)

Record details

NPI number1255117719
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 31, 2023
Last updated in NPPESMarch 18, 2025
Certification dateMarch 18, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Novant Health Medical Group Coastal Region Llc — 576 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Rocky Point