Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN LILLIAN ANDERSON, PA-C
ActiveJORDAN LILLIAN ANDERSON, PA-C is a Surgical Physician Assistant healthcare provider located in MAPLE GROVE, Minnesota. NPI 1053066399 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · MAPLE GROVE, MN
Registration Details
- NPI Number
- 1053066399
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 15, 2022 (4.4594818025289 yrs)
- Last Updated
- Jun 21, 2023
- Licenses
-
PA15644 (TX)14483 (MN)
Practice Information
- Address
-
10150 NIAGARA LN N # 100MAPLE GROVE, MN, 553697588Browse MN providers · Browse ZIP 55369
- Phone
- 2242135886
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical Physician Assistant
Other Surgical Physician Assistant Providers in MAPLE GROVE, MN
| Name | Credential | NPI |
|---|---|---|
| MS. ALISSA S VENTURA | PA-C | 1740255835 |
| MS. SHANNON M CHRISTOPHERSON | PA-C | 1538138722 |
| HIEU KIM CABAK | PA-C | 1518917731 |
| CHAD L SWEARINGEN | PA-C | 1558392878 |
| RACHEL DAWN MILLER | PA-C | 1760678874 |
| TARA BARRACK | PA-C | 1104266865 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.