Individual provider · Type 1 NPI

Jordan Douglas Sanders, AG-ACNP

Nurse Practitioner · Santa Maria, CA

NPI number 1619709805 Active

Practice location

1510 E Main St Ste 104C
Santa Maria, CA 93454-4825

Call (805) 928-5767 Map

Fax (805) 349-0222

Mailing address

3231 Orcutt Rd Apt 3
Santa Maria, CA 93455-2396

Other practice locations

1900 Pine St, Abilene, TX 79601-2432 · (412) 371-9133

Specialties and licenses

Taxonomy	Code	License
Critical Care Medicine Registered Nurse	163WC0200X	95211424 (CA)
Nurse Practitioner Primary	363L00000X	95034111 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1619709805

Jordan Douglas Sanders, AG-ACNP's National Provider Identifier is 1619709805, issued on Aug 15, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Santa Maria, CA. The record was last updated on Jun 30, 2025.