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

Jordan Anderson

Individual provider Medical Physician Assistant · NPI 1972274660

Jordan Anderson is a Medical Physician Assistant in Plymouth, Minnesota. Licensed in Minnesota. Registered with an NPI since 2021.

Licensed in
MN
In the registry since
2021

Practice location Address checks out

15655 37th Ave N Ste 100
Plymouth, MN 55446-4003
Phone: (612) 293-7822
Fax: (630) 509-4420
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 14624 (MN)

Record details

NPI number1972274660
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 23, 2021
Last updated in NPPESOctober 6, 2023
Certification dateOctober 6, 2023
Mailing address200 1st St Sw, Rochester, MN 55905-0001

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