Individual provider · Type 1 NPI

Lanie Katherine Jordan

Physician Assistant · Addison, TX

NPI number 1699570234 Active

Practice location

17051 Dallas Pkwy Ste 400
Addison, TX 75001-7108

Mailing address

2217 Ivan St Apt 1206
Dallas, TX 75201-7043

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA19995 (TX)

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 1699570234

Lanie Katherine Jordan's National Provider Identifier is 1699570234, issued on Feb 18, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Addison, TX. The record was last updated on Feb 19, 2026.