Jordan Wells
Jordan Wells is a Student in an Organized Health Care Education/Training Program in Saint Louis, Missouri. Practices as a sole proprietor. Licensed in Missouri.
- Licensed in
- MO
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
3437 Caroline StSaint Louis, MO 63104-1111
Phone: (971) 275-7979
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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 2023010678 (MO) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1043971815 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 4, 2022 |
| Last updated in NPPES | March 30, 2023 |
| Certification date | March 30, 2023 |
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