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

Jordan Traynham, PA-C

Individual provider Physician Assistant · NPI 1588270136

Jordan Traynham, PA-C is a Physician Assistant in Minneapolis, Minnesota. Licensed in Minnesota and Wisconsin. Registered with an NPI since 2020.

Licensed in
MN, WI
In the registry since
2020
Specialties on file
3
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

717 Delaware St SE Ste 508
Minneapolis, MN 55414-2959
Phone: (612) 626-6911
Fax: (612) 625-3481
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 13979 (MN)
Physician Assistant Taxonomy 363A00000X · Licence 22186 (WI)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1588270136
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 18, 2020
Last updated in NPPESMarch 25, 2025
Certification dateMarch 25, 2025

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