Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BLAKE NELSON JORDAN, PA-C
ActiveBLAKE NELSON JORDAN, PA-C is a Medical Physician Assistant healthcare provider located in PARK CITY, Utah. NPI 1740159060 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · PARK CITY, UT
Registration Details
- NPI Number
- 1740159060
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 4, 2025 (0.59342294797409 yrs)
- Last Updated
- Nov 4, 2025
Practice Information
- Address
-
1784 UINTA WAY STE EPARK CITY, UT, 840987669Browse UT providers · Browse ZIP 84098
- Phone
- 4356040160
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in PARK CITY, UT
| Name | Credential | NPI |
|---|---|---|
| MELISSA STRUWE BRILEY | MS, PA-C | 1265439376 |
| MRS. PAMELA L SUNSHINE | PA-C | 1396830402 |
| MICHELLE R CROYLE | PA-C | 1386255446 |
| MAELIN SORENSON | PA-C | 1982384996 |
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.