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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JORDAN KNOPPERT, IDC

Active

JORDAN KNOPPERT, IDC is a Independent Duty Corpsman healthcare provider located in GROTON, Connecticut. NPI 1598394975 is currently active in the NPPES registry. Verify at CMS.

Independent Duty Corpsman · GROTON, CT

Registration Details

NPI Number
1598394975
Provider Type
Individual
Gender
Male
NPI Issued
Apr 7, 2020 (6.1646870109182 yrs)
Last Updated
Feb 17, 2026

Practice Information

Address
1 WAHOO AVE
GROTON, CT, 063492324
Browse CT providers · Browse ZIP 06349
Phone
8606942073
Primary Specialty
Independent Duty Corpsman
1710I1002X

Other Independent Duty Corpsman Providers in GROTON, CT

Name Credential NPI
ROY L UNDERWOOD SFIDC 1588631014
MR. RANDALL FREDERICK DIERKING JR. IDC 1790752111
MR. DAVID ANDREW PETERSON JR. 1639147606
JOHN REED 1568439594
MICHAEL NAPOLITANO 1356318331
JEFFREY LYNN MCGREGOR IDC 1912941980
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.