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

Raven Natasha Jordan, PHARMD

Individual provider Pharmacist · NPI 1679177240

Raven Natasha Jordan, PHARMD is a Pharmacist in Fayetteville, Georgia. Licensed in Georgia. Registered with an NPI since 2020.

Licensed in
GA
In the registry since
2020
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

107 Pavilion Pkwy
Fayetteville, GA 30214-4098
Phone: (770) 371-1200
Fax: (678) 734-9931
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence RPH031159 (GA)

Record details

NPI number1679177240
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedNovember 24, 2020
Last updated in NPPESNovember 24, 2020
Certification dateNovember 24, 2020

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