Individual provider · Type 1 NPI
Jordan Barrett Nalls
Surgical Physician Assistant · Catonsville, MD
NPI number
1417892878
Active
Practice location
910 Frederick Rd
Catonsville, MD 21228-4516
Mailing address
14530 Dorsey Mill Rd
Glenwood, MD 21738-9320
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | None listed |
Surgical Physician Assistant: Definition to come...
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About NPI 1417892878
Jordan Barrett Nalls's National Provider Identifier is 1417892878, issued on Apr 22, 2026. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Catonsville, MD. The record was last updated on Jun 4, 2026.