Jacqueline Jordan, PA-C Valid NPI

Individual provider · Medical Physician Assistant · East Hartford, CT

NPI

1215422514

Type

Individual (Type 1)

Primary specialty

Medical Physician Assistant (Physician Assistant)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363AM0700X

License number

23.004134 (CT)

Sex

Female

Sole proprietor

Yes

Enumerated

2018-06-28

Last updated

2018-06-28