Individual provider · Type 1 NPI

Jordan Daniel Willoughby, PA-C

Physician Assistant · Gilbert, AZ

NPI number 1013790856 Active

Practice location

3591 S Mercy Rd Ste 101
Gilbert, AZ 85297-1192

Fax (866) 939-2673

Mailing address

18444 N 25th Ave Ste 310
Phoenix, AZ 85023-1266

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X10230 (AZ)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1013790856

Jordan Daniel Willoughby, PA-C's National Provider Identifier is 1013790856, issued on Aug 16, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Gilbert, AZ. The record was last updated on Aug 11, 2025.