Individual provider · Type 1 NPI

Kaitlin Jordan, PA-C

Physician Assistant · Rockville, MD

NPI number 1053074781 Active

Practice location

15201 Shady Grove Rd Ste 103
Rockville, MD 20850-3217

Call (240) 261-6437 Map

Fax (240) 912-4173

Mailing address

932 Orchard Ridge Dr Unit 100
Gaithersburg, MD 20878-5887

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XC0008219 (MD)

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 1053074781

Kaitlin Jordan, PA-C's National Provider Identifier is 1053074781, issued on Oct 19, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Rockville, MD. The record was last updated on Jul 28, 2025.