Stores, Jordan

Stores, Jordan is an individual health care provider with primary practice located at 1544 County Road 220 Ste 100 , Orange Park FL 32003-4991. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Stores, Jordan can be contacted via phone (904) 223-2340.

Contact Information

Primary practice address
1544 County Road 220 Ste 100 Orange Park FL 32003-4991
Phone: (904) 223-2340
Fax: (904) 637-7991
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9113597 Florida

Profile Details

NPI number 1710424254
LBN Legal business name Stores, Jordan
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2017
Last updated Jun 22nd, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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