Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANE JORDAN, PA
Active Sole ProprietorSHANE JORDAN, PA is a Medical Physician Assistant healthcare provider located in BROOKLINE, Massachusetts. NPI 1881132132 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · BROOKLINE, MA
Registration Details
- NPI Number
- 1881132132
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 7, 2017 (9.4807341925107 yrs)
- Last Updated
- Feb 7, 2017
- License
-
PA6034 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1285 BEACON STBROOKLINE, MA, 024465284Browse MA providers · Browse ZIP 02446
- Phone
- 6177516205
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in BROOKLINE, MA
| Name | Credential | NPI |
|---|---|---|
| MRS. AMY BRAY AKLAND | PA-C | 1093915795 |
| VASSO ANEST KUMARELAS | PA-C | 1477910537 |
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.