JORDAN PATRICK RAY NPI 1922912435

NPI Information

  • NPI: 1922912435
  • Provider Name: JORDAN PATRICK RAY
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 2065 E 17TH ST STE B
    IDAHO FALLS, ID
    ZIP 83404
  • Phone: (208) 520-6053

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NPI Details

Jordan Patrick Ray is a psychiatric/mental health nurse practitioner in Idaho Falls, ID. Jordan Patrick Ray NPI is 1922912435. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2065 E 17TH ST STE B
IDAHO FALLS, ID
ZIP 83404-042
Phone: (208) 520-6053

The enumeration date for this NPI number is 10/1/2026 and was last updated on 10/9/2026.

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
1363LP0808XNurse PractitionerPsychiatric/Mental Health5181639IDAHOYes

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: 11/21/2025

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