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

Jordan Shortreed

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1417650607

Jordan Shortreed is a Student in an Organized Health Care Education/Training Program in LA Crosse, Wisconsin. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1900 S Ave
LA Crosse, WI 54601-5467
Phone: (608) 782-7300
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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 number1417650607
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 24, 2023
Last updated in NPPESMarch 24, 2023
Certification dateMarch 24, 2023
Mailing address1900 South Ave, La Crosse, WI 54601-5467

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