National Provider Identifier
Amanda Maureen Jordan, PHYSICIAN ASSISTANT
Amanda Maureen Jordan, PHYSICIAN ASSISTANT is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant in Niagara Falls, NY and a listed phone number of (716) 517-5436.
Profile Overview
- NPI
- 1861236036
- Provider Type
- Individual
- Primary Specialty
- Surgical Physician Assistant
- Enumeration Date
- June 22, 2024
- Last Updated
- June 22, 2024
Practice Location
- 621 10Th St
- Niagara Falls, NY 14301-1813
Phone: (716) 517-5436
Mailing Address
- 814 Lighthouse PT
- Grand Island, NY 14072-2267
Specialties
- Surgical Physician Assistant (363AS0400X)
Full Record
- NPI
- 1861236036
- Entity Type
- Individual
- Last Name
- Jordan
- First Name
- Amanda
- Middle Name
- Maureen
- Credential
- PHYSICIAN ASSISTANT
- Mailing Street Address
- 814 Lighthouse PT
- Mailing City
- Grand Island
- Mailing State
- NY
- Mailing ZIP Code
- 14072-2267
- Mailing Country
- US
- Mailing Phone
- (716) 517-5436
- Practice Street Address
- 621 10Th St
- Practice City
- Niagara Falls
- Practice State
- NY
- Practice ZIP Code
- 14301-1813
- Practice Country
- US
- Practice Phone
- (716) 517-5436
- Enumeration Date
- June 22, 2024
- Last Updated
- June 22, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- June 22, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Surgical Physician Assistant (363AS0400X)