Provider / Organization | NPI | Date Certified |
---|---|---|
KAITLIN EILEEN JORDAN | 1407599756 | 2022-08-07 |
Kaitlin Eileen Jordan is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1407599756. Registration indicates Kaitlin Eileen Jordan is a provider of services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant (Physician Assistant: Surgical, ) (All Other Specialties & Provider Types, ) (Physician Assistant Surgical Technologist, Physician Assistants & Advanced Practice Nursing Providers) (Physician Assistant, )
Entity Type | Individual |
Provider Name | Kaitlin Eileen Jordan PA-C |
Practice Office Address | 80 SEYMOUR ST HARTFORD, CT US |
Practice Office Telephone | 8609725022 |
Mailing Address | 80 SEYMOUR ST HARTFORD, CT 061028000 US |
Business Telephone | 8609725022 |
Code | Practice | License No State |
---|---|---|
363AS0400X PRIMARY | Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant: Surgical All Other Specialties & Provider Types Physician Assistant Surgical Technologist Physician Assistants & Advanced Practice Nursing Providers Physician Assistant | 005739
CT |