Physician Assistant
Mr. JEREMY JORDAN PA-C, MBA
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1790729614 · enumerated 2006-06-15 · record updated 2021-08-03. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Other names: TODD JORDAN
Addresses and phones
- Practice location 3200 MACCORKLE AVE SE, CHARLESTON, WV, 25304-1297 (304) 388-5432 Google Maps Apple Maps OpenStreetMap
- Mailing address 2300 MACCORKLE AVE SE, CHARLESTON, WV, 25304-1099 (304) 357-4790 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · Primary · License 823 WV
In this directory
Locations and evidence
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Practice location
CHARLESTON, WV, 253041297
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.