Jordan Patrick Ray
Jordan Patrick Ray is a Psychiatric/Mental Health Nurse Practitioner in Idaho Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2026.
- Licensed in
- ID
- In the registry since
- 2026
Practice location Address checks out
2065 E 17th St Ste BIdaho Falls, ID 83404-8042
Phone: (208) 520-6053
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence 5181639 (ID) |
|---|
Record details
| NPI number | 1922912435 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 1, 2026 |
| Last updated in NPPES | October 4, 2026 |
| Certification date | October 4, 2026 |
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