Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN PHENICIE, PA
ActiveJORDAN PHENICIE, PA is a Physician Assistant healthcare provider located in SPRINGFIELD, Missouri. NPI 1114428547 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · SPRINGFIELD, MO
Registration Details
- NPI Number
- 1114428547
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 21, 2018 (8.4965099919288 yrs)
- Last Updated
- Dec 27, 2018
- License
-
2018003312 (MO)
Practice Information
- Address
-
3555 S NATIONAL AVESPRINGFIELD, MO, 658077310Browse MO providers · Browse ZIP 65807
- Phone
- 4178753800
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in SPRINGFIELD, MO
| Name | Credential | NPI |
|---|---|---|
| MS. JODY L STANTON | PAC, ATC | 1780684753 |
| MRS. KATHLEEN DAWN SMITH | PA | 1306833702 |
| MRS. LAURA CATHERINE ROSS | PA | 1689665218 |
| AMBER D HERRING | P.A.-C. | 1679555346 |
| MS. STEPHANIE LEA FOX | PA | 1487617742 |
| JODIE A. TUCKER | P.A. | 1972555712 |
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.