JORDAN ANDERSON NPI 1972274660

NPI Information

NPI: 1972274660
Provider Name: JORDAN ANDERSON
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
15655 37TH AVE N STE 100
PLYMOUTH, MN
ZIP 55446
Phone: (612) 293-7822
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Jordan Anderson is a medical physician assistant in Plymouth, MN. Jordan Anderson NPI is 1972274660. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

15655 37TH AVE N STE 100
PLYMOUTH, MN
ZIP 55446-003
Phone: (612) 293-7822
Fax: (630) 509-4420

The enumeration date for this NPI number is 9/23/2021 and was last updated on 10/6/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	14624	MINNESOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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