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

Jordan Lane

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1447091475

Jordan Lane is a Physician Assistant in Mesa, Arizona. Qualified in 2025, 1 year ago. Practices with Horn Lake Family Practice Inc, a 6-clinician group and accepts Medicare assignment.

Years since qualifying
1
In the registry since
2024
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Practice location Address checks out

5850 E Still Cir
Mesa, AZ 85206-3618
Phone: (630) 962-9440
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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 number1447091475
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 4, 2024
Last updated in NPPESJune 4, 2024
Certification dateJune 4, 2024
Mailing address5850 E Still Cir, Mesa, AZ 85206-3618

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Horn Lake Family Practice Inc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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