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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1164219804

Jordan Kaye Oliphant, MD is a Student in an Organized Health Care Education/Training Program in Saint Cloud, Minnesota. Registered with an NPI since 2025.

In the registry since
2025
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

1555 Northway Dr Ste 200
Saint Cloud, MN 56303-4913
Phone: (320) 240-3157
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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

Record details

NPI number1164219804
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 24, 2025
Last updated in NPPESApril 24, 2025
Certification dateApril 24, 2025
Mailing address1555 Northway Dr Ste 200, Saint Cloud, MN 56303-4913

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