Individual provider · Type 1 NPI

Jordan Iverson

Surgical Physician Assistant · Fargo, ND

NPI number 1851890396 Active

Practice location

2301 25th St S
Fargo, ND 58103-6104

Mailing address

29791 80th Ave N
Hitterdal, MN 56552-9794

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Medical Physician Assistant 363AM0700XNone listed
Surgical Physician Assistant Primary 363AS0400XNone listed

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About NPI 1851890396

Jordan Iverson's National Provider Identifier is 1851890396, issued on Feb 11, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Fargo, ND. The record was last updated on Feb 11, 2018.