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

Jordan Thiesen

Individual provider Emergency Medicine Physician · NPI 1578942892

Jordan Thiesen is an Emergency Medicine in Jackson, Mississippi. Qualified in 2015, 11 years ago. Practices with Cep America - California, a 1,267-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
11
Licensed in
CA
In the registry since
2015
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Practice location Address checks out

2500 N State St Dept OF Emergency Medicine
Jackson, MS 39216
Phone: (601) 984-5582
Fax: (601) 984-5583
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 20A16372 (CA)

Record details

NPI number1578942892
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 19, 2015
Last updated in NPPESJuly 11, 2018
Mailing address2500 N State St, Department Of Emergency Medicine, Jackson, MS 39216-4500

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Cep America - California — 1267 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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