Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Jordan Michael Wilkins, PA-C

Individual provider Independent Duty Corpsman · NPI 1023384401

Jordan Michael Wilkins, PA-C is registered under Independent Duty Corpsman in Twentynine Palms, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

72724 29 Palms Hwy Ste 107-B
Twentynine Palms, CA 92277-2417
Phone: (760) 760-5675
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA59839 (CA)
Independent Duty Corpsman Taxonomy 1710I1002X

Record details

NPI number1023384401
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMarch 29, 2012
Last updated in NPPESSeptember 17, 2026
Certification dateSeptember 17, 2026

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