Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS JORDAN AGNEW, PA-C
ActiveMISS JORDAN AGNEW, PA-C is a Physician Assistant healthcare provider located in LONG BEACH, California. NPI 1609499763 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · LONG BEACH, CA
Registration Details
- NPI Number
- 1609499763
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 24, 2020 (6.2311994096709 yrs)
- Last Updated
- Nov 6, 2023
- License
-
61716 (CA)
Practice Information
- Address
-
1627 E ANAHEIM STLONG BEACH, CA, 908133809Browse CA providers · Browse ZIP 90813
- Phone
- 5622188181
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in LONG BEACH, CA
| Name | Credential | NPI |
|---|---|---|
| MR. TIM HARJU | PAC | 1588620983 |
| MR. TANATE VACHIRA | PA-C | 1710943733 |
| ALICE T BALDWIN | PA | 1700831153 |
| JOSEPH D DABNEY | PA | 1194771147 |
| ALEX M TENAZAS | PA | 1588610042 |
| JULIE MCKAY | PA | 1629017298 |
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.