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

Jordan Draheim

Individual provider Military Health Care Provider · NPI 1235096769

Jordan Draheim is a Military Health Care Provider in Fort Campbell, Kentucky. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
3

Practice location Address checks out

650 Joel Dr
Fort Campbell, KY 42223-5318
Phone: (270) 956-0336
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
Military Health Care Provider Taxonomy 171000000X
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1235096769
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 7, 2026
Last updated in NPPESJanuary 7, 2026
Certification dateJanuary 7, 2026
Mailing address650 Joel Dr, Fort Campbell, KY 42223-5318

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