Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jordan Christopher Rennicke, MD

Individual provider Family Medicine Physician · NPI 1407343767

Dr. Jordan Christopher Rennicke, MD is a Family Medicine Physician in Travis AFB, California. Practices as a sole proprietor. Licensed in Nebraska.

Licensed in
NE
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

101 Bodin Cir
Travis AFB, CA 94535-1809
Phone: (707) 423-3057
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 32087 (NE)
Family Medicine Physician Taxonomy 207Q00000X · Licence 32087 (NE)

Record details

NPI number1407343767
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 21, 2018
Last updated in NPPESMay 21, 2024
Certification dateMay 21, 2024

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