Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN STORES, PA-C
ActiveJORDAN STORES, PA-C is a Physician Assistant healthcare provider located in ORANGE PARK, Florida. NPI 1710424254 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · ORANGE PARK, FL
Registration Details
- NPI Number
- 1710424254
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 23, 2017 (9.3747995376514 yrs)
- Last Updated
- Jun 22, 2023
- License
-
PA9113597 (FL)
Practice Information
- Address
-
1544 COUNTY ROAD 220 STE 100ORANGE PARK, FL, 320034991Browse FL providers · Browse ZIP 32003
- Phone
- 9042232340
- Fax
- 9046377991
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in ORANGE PARK, FL
| Name | Credential | NPI |
|---|---|---|
| JANET UNDERKOFLER | PA | 1083613046 |
| LUCIA A ONOFRIO | PA | 1477553600 |
| MOLLY LENAHAN | P.A.-C | 1902876253 |
| MR. ANTHONY PATRICK BIELLO | PA-C | 1295702603 |
| MR. MARK ABE COOPER | P.A.-C | 1861453334 |
| MR. SEAN A ROBINSON | PA-C | 1164466314 |
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.