Jordan, Jennifer Jean

Jordan, Jennifer Jean is an individual health care provider with primary practice located at 5145 Fm 620 N Ste B-110 , Austin TX 78732-1815. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Procedural Dermatology, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Jordan, Jennifer Jean can be contacted via phone (512) 266-0007.

Contact Information

Primary practice address
5145 Fm 620 N Ste B-110 Austin TX 78732-1815
Phone: (512) 266-0007
Fax: (512) 266-0077
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X PA04718 Texas
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA04718 Texas

Profile Details

NPI number 1164534699
LBN Legal business name Jordan, Jennifer Jean
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated May 11th, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1164534699 NPPES
Other P00393129 RAILROAD MEDICARE

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