Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JEREMY TODD JORDAN, PA-C, MBA
ActiveMR. JEREMY TODD JORDAN, PA-C, MBA is a Physician Assistant healthcare provider located in CHARLESTON, West Virginia. NPI 1790729614 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · CHARLESTON, WV
Registration Details
- NPI Number
- 1790729614
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 15, 2006 (20.159031309309 yrs)
- Last Updated
- Aug 3, 2021
- License
-
823 (WV)
Practice Information
- Address
-
3200 MACCORKLE AVE SECHARLESTON, WV, 253041297Browse WV providers · Browse ZIP 25304
- Phone
- 3043885432
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in CHARLESTON, WV
| Name | Credential | NPI |
|---|---|---|
| MRS. EMILY KATHRYN MONTGOMERY-DEEM | P.A.-C | 1720075369 |
| PAULA BLOUNT | PA | 1700862091 |
| JODY ASBURY | PA | 1295711687 |
| BRYAN DENT | PA | 1285610675 |
| MISS JANELDA RAE DUNCAN | PA-C | 1710963103 |
| TRACI KALASKEY | PA | 1265418651 |
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.