Individual provider · Type 1 NPI
Jordan Hathorn, PA-C
Physician Assistant · New Haven, CT
Practice location
400 Blake St Apt 4211
New Haven, CT 06515-4419
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant Primary | 363A00000X | 7520 (CT) |
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 1053266460
Jordan Hathorn, PA-C's National Provider Identifier is 1053266460, issued on Mar 2, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in New Haven, CT. The record was last updated on Mar 2, 2026.