Individual provider · Type 1 NPI

Jeremy Todd Jordan, PA-C, MBA

Physician Assistant · Charleston, WV

NPI number 1790729614 Active

Practice location

3200 Maccorkle Ave SE
Charleston, WV 25304-1297

Mailing address

2300 Maccorkle Ave SE
Charleston, WV 25304-1099

Other practice locations

  • 4602 Maccorkle Ave SE, Charleston, WV 25304-1848 · (304) 925-4777

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X823 (WV)

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 1790729614

Jeremy Todd Jordan, PA-C, MBA's National Provider Identifier is 1790729614, issued on Jun 15, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Charleston, WV. The record was last updated on Aug 3, 2021.