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

Mr. Jay Daniel Jordan, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1457383606

Mr. Jay Daniel Jordan, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Salisbury, North Carolina. Qualified in 1996, 30 years ago. Practices with Medical Park Hospital LLC, a 109-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
30
Licensed in
NC
In the registry since
2006
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

612 Mocksville Ave
Salisbury, NC 28144-2732
Phone: (704) 210-5661
Fax: (704) 210-5660
Show map & directions

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

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 47466 (NC)

Record details

NPI number1457383606
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJuly 7, 2006
Last updated in NPPESOctober 27, 2020
Certification dateOctober 27, 2020

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Medical Park Hospital Llc — 109 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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