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

Jordan River

Individual provider Other Technician · NPI 1861289902

Jordan River is an Other Technician in Stuart, Florida. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

7108 S Kanner Hwy
Stuart, FL 34997-7462
Phone: (855) 832-6727
Fax: (772) 675-9100
Show map & directions

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

Specialties & licences

Other Technician (primary) Taxonomy 247200000X

Record details

NPI number1861289902
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 22, 2025
Last updated in NPPESApril 22, 2025
Certification dateApril 22, 2025
Mailing address7108 S Kanner Hwy, Stuart, FL 34997-7462

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