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

Jordan Cisneros

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1841874914

Jordan Cisneros is a Student in an Organized Health Care Education/Training Program in Aurora, Colorado. Practices as a sole proprietor. Licensed in Colorado.

Licensed in
CO
In the registry since
2021

Practice location Address checks out

12631 E 17th Ave Ste C316
Aurora, CO 80045-2527
Phone: (303) 724-6595
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence TL.0009545 (CO)

Record details

NPI number1841874914
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 5, 2021
Last updated in NPPESJune 25, 2023
Certification dateJune 25, 2023
Mailing address12631 E 17th Ave Ste C316, Aurora, CO 80045-2527

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