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

Mr. Jeremy Todd Jordan, PA-C, MBA

Individual provider Physician Assistant · NPI 1790729614

Mr. Jeremy Todd Jordan, PA-C, MBA is a Physician Assistant in Charleston, West Virginia. Works from 2 locations. Licensed in West Virginia.

Licensed in
WV
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.
MBA — Master of Business Administration
A graduate business degree.

See every abbreviation used in this directory →

Practice location Address checks out

3200 Maccorkle Ave SE
Charleston, WV 25304-1297
Phone: (304) 388-5432
Show map & directions

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

Additional practice locations (1)

  • 4602 Maccorkle Ave Se, Charleston, WV 25304-1848 — (304) 925-4777

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 823 (WV)

Record details

NPI number1790729614
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C , MBA
Sole proprietorNo
NPI enumeratedJune 15, 2006
Last updated in NPPESAugust 3, 2021
Certification dateAugust 3, 2021

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