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Ms. Jennifer Jean Jordan, PA
Medical Physician Assistant in Austin, Texas
NPI 1164534699

Jennifer Jean Jordan is a Medical Physician Assistant based in Austin, TX and is specialized in Medical. Jennifer Jean Jordan practices in Austin, TX and has the professional credentials of PA. The NPI Number for Jennifer Jean Jordan is 1164534699 and holds a License No. PA04718 (Texas).

The current practice location address for Jennifer Jean Jordan is 5145 Fm 620 N Ste B-110, Austin, TX and can be reached out via phone at 512-266-0007 and via fax at 512-266-0077.

Location: 5145 Fm 620 N Ste B-110, Austin, TX, 78732-1815
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164534699
Provider Name
Jennifer Jean Jordan
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
5145 Fm 620 N Ste B-110, Austin, TX, 78732-1815
Phone Number
512-266-0007
Fax Number
512-266-0077
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00393129 01 RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
5145 Fm 620 N Ste B-110
City
Austin
State
Texas
Zip
78732-1815
Phone Number
512-266-0007
Fax Number
512-266-0077
person
Provider Business Mailing Address Details
Address
5145 Fm 620 N Ste B-110
City
Austin
State
Texas
Zip
78732-1815
Phone Number
512-266-0007
Fax Number
512-266-0077
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Dermatology
Speciality
Procedural Dermatology
Taxonomy
207NS0135X
License No.
PA04718 (Texas)
Definition
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA04718 (Texas)
Definition
Definition to come...
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