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

MR. JORDAN WESLEY TINNELL, PA-C

Active

MR. JORDAN WESLEY TINNELL, PA-C is a Physician Assistant healthcare provider located in LOUISVILLE, Kentucky. NPI 1629522925 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · LOUISVILLE, KY

Registration Details

NPI Number
1629522925
Provider Type
Individual
Gender
Male
NPI Issued
Aug 4, 2016 (10.049401088585 yrs)
Last Updated
Dec 26, 2018
Licenses
99077113A (IN)
TC492 (KY)
10002178A (IN)
99077113A (IN)
TC492 (KY)

Practice Information

Address
4130 DUTCHMANS LN
STE. 300
LOUISVILLE, KY, 402074713
Browse KY providers · Browse ZIP 40207
Phone
5028971794
Fax
5022381286
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant
Additional Specialty
Physician Assistant
Additional Specialty
Medical Physician Assistant
Additional Specialty
Medical Physician Assistant

Other Physician Assistant Providers in LOUISVILLE, KY

Name Credential NPI
MELISSA DAWN EDDS PA-C 1578566600
MR. JAMES SCOTT GAGEL PA 1073518262
MICHAEL E GILBERT PA-C 1265438550
CANDY SUE FISCHBACH PA-C 1992703383
KIRK A FOUGNIE PA-C 1295734747
MRS. TRACEY GREGORY MAYNOR PAC 1043219520
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.