Individual provider · Type 1 NPI
Breanna Jordan, FNP
Primary Care Nurse Practitioner · La Jolla, CA
NPI number
1336091768
Active
Practice location
8867 Villa La Jolla Dr Ste 610
La Jolla, CA 92037-1972
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 95036991 (CA) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1336091768
Breanna Jordan, FNP's National Provider Identifier is 1336091768, issued on Feb 10, 2026. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in La Jolla, CA. The record was last updated on Feb 10, 2026.