JACQUELINE JORDAN PA-C NPI 1215422514

NPI Information

NPI: 1215422514
Provider Name: JACQUELINE JORDAN, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: FIRST CHOICE HEALTH CENTERS INC

PECOS Registration: Yes

Address:
809 MAIN ST
EAST HARTFORD, CT
ZIP 06108
Phone: (860) 528-1359
Get Directions

Jacqueline Jordan, PA-C is a medical physician assistant in East Hartford, CT with 6 years of experience. Jacqueline Jordan, PA-C NPI is 1215422514. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

809 MAIN ST
EAST HARTFORD, CT
ZIP 06108-142
Phone: (860) 528-1359

The NPI 1215422514 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/28/2018 and was last updated on 6/28/2018.

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	23.004134	CONNECTICUT	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: 11/14/2023

NPI Synchronization or Removal

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