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Jordan Wilson, PA-C
Physician Assistant in Centralia, Washington
NPI 1235651720

Jordan Wilson is a Physician Assistant based in Olympia, WA. Jordan Wilson practices in Centralia, WA and has the professional credentials of PA-C. The NPI Number for Jordan Wilson is 1235651720 and holds a License No. 9110440 (Washington).

The current practice location address for Jordan Wilson is 2428 W Reynolds Ave, Centralia, WA and can be reached out via phone at 360-330-9044.

Location: 2428 W Reynolds Ave, Centralia, WA, 98501-1052
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235651720
Provider Name
Jordan Wilson
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
2428 W Reynolds Ave, Centralia, WA, 98501-1052
Phone Number
360-330-9044
Fax Number
Provider Enumeration Date
07/17/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2101119 05 WA
institution
Provider Business Practice Location Address Details
Address
2428 W Reynolds Ave
City
Centralia
State
Washington
Zip
98531
Phone Number
360-330-9044
Fax Number
person
Provider Business Mailing Address Details
Address
2428 W Reynolds Ave
City
Centralia
State
Washington
Zip
98531
Phone Number
360-330-9044
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Behavioral Neurology & Neuropsychiatry
Taxonomy
2084B0040X
License No.
PA60855409 (Washington)
Definition
Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
9110440 (Florida)
Definition
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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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