Anderson, Jordan Lillian

Anderson, Jordan Lillian is an individual health care provider with primary practice located at 10150 Niagara Ln N # 100 , Maple Grove MN 55369-7588. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Anderson, Jordan Lillian can be contacted via phone (224) 213-5886.

Contact Information

Primary practice address
10150 Niagara Ln N # 100 Maple Grove MN 55369-7588
Phone: (224) 213-5886
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA15644 Texas
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 14483 Minnesota

Profile Details

NPI number 1053066399
LBN Legal business name Anderson, Jordan Lillian
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2022
Last updated Jun 21st, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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