Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN LEE BLACKHAM, PA-C
ActiveJORDAN LEE BLACKHAM, PA-C is a Physician Assistant healthcare provider located in SAINT GEORGE, Utah. NPI 1790337046 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · SAINT GEORGE, UT
Registration Details
- NPI Number
- 1790337046
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 16, 2019 (7.0690033350973 yrs)
- Last Updated
- Nov 6, 2020
Practice Information
- Address
-
652 S MEDICAL CENTER DR STE 120SAINT GEORGE, UT, 847907077Browse UT providers · Browse ZIP 84790
- Phone
- 4352513600
- Fax
- 4352513601
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Student (Health Education/Training)
Other Physician Assistant Providers in SAINT GEORGE, UT
| Name | Credential | NPI |
|---|---|---|
| SHERINE SMITH | PA-C | 1164634523 |
| PAMELA SORENSEN | PA-C | 1992972616 |
| MARK TOY YODER | P.A. | 1659505584 |
| NATHAN W ASTON | PA-C | 1568754364 |
| KIMBERLY WARBURTON | PA-C | 1477818151 |
| JAMES RITCH BENSON | PA-C | 1902227101 |
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.