Individual provider · Type 1 NPI

Jordan Kaye Oliphant, MD

Student in an Organized Health Care Education/Training Program · St. Cloud, MN

NPI number 1164219804 Active

Practice location

1555 Northway Dr Ste 200
St. Cloud, MN 56303-4913

Call (320) 240-3157 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1164219804

Jordan Kaye Oliphant, MD's National Provider Identifier is 1164219804, issued on Apr 24, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in St. Cloud, MN. The record was last updated on Apr 24, 2025.