Miss Jordan O'Connor, PA
Physician Assistant in Weymouth, Massachusetts
1598062713- Practice location
- 55 Fogg RD, Weymouth, MA 02190
- Phone
- 781-624-3889
- Fax
- 781-624-6730
- Last updated
- June 10, 2015
Jordan O'Connor is a Physician Assistant based in Weymouth, MA. Jordan O'Connor practices in Weymouth, MA and has the professional credentials of PA. The NPI Number for Jordan O'Connor is 1598062713 and holds a License No. PA4141 (MA). The current practice location address for Jordan O'Connor is 55 Fogg RD, Weymouth, MA 02190 and can be reached out via phone at 781-624-3889 and via fax at 781-624-6730.
Provider Profile Details
- NPI Number
- 1598062713
- Provider Name
- Jordan O'Connor
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 55 Fogg RD, Weymouth, MA 02190
- Phone Number
- 781-624-3889
- Fax Number
- 781-624-6730
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- Yes
- Other Names
- -- Jordan Manly, PA (Former Name)
- Provider Enumeration Date
- February 24, 2011
- Last Update Date
- June 10, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 55 Fogg RD
Weymouth, MA 02190 - City
- Weymouth
- State
- Massachusetts
- Zip
- 02190
- Phone Number
- 781-624-3889
- Fax Number
- 781-624-6730
Provider Business Mailing Address Details
- Address
- Box 85
55 Fogg RD
Weymouth, MA 02190 - City
- Weymouth
- State
- MA
- Zip
- 02190
- Phone Number
- 781-624-3889
- Fax Number
- 781-624-6730
License Information
- License Number
- PA4141
- License State
- MA
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Miss Jordan O'Connor, PA?
The NPI number of Miss Jordan O'Connor, PA is 1598062713. It was assigned on February 24, 2011 and is currently active in the NPPES registry.
What is the specialty of Miss Jordan O'Connor, PA?
Miss Jordan O'Connor, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number PA4141.
Where does Miss Jordan O'Connor, PA practice?
The practice location is 55 Fogg RD, Weymouth, MA 02190. The office can be reached at 781-624-3889 (phone) or 781-624-6730 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1598062713 directly on the NPPES registry website.