Individual provider · Type 1 NPI

Jordan Lee Blackham, PA-C

Physician Assistant · St. George, UT

NPI number 1790337046 Active

Practice location

652 S Medical Center Dr Ste 120
St. George, UT 84790-7077

Call (435) 628-4460 Map

Fax (435) 251-3601

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Other practice locations

  • 3155 S Hidden Valley Dr Unit 333, St. George, UT 84790-6986 · (435) 262-0497

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X8678933-1206 (UT)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

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…

9 other providers at this address

Other physician assistant providers in St. George

See all in St. George →

About NPI 1790337046

Jordan Lee Blackham, PA-C's National Provider Identifier is 1790337046, issued on Jul 16, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in St. George, UT. The record was last updated on Jun 8, 2026.