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

Mrs. Jordan Kimberly Desruisseaux, PA-C

Individual provider Physician Assistant · NPI 1649537143

Mrs. Jordan Kimberly Desruisseaux, PA-C is a Physician Assistant in Punta Gorda, Florida. Licensed in Florida. Registered with an NPI since 2012.

Licensed in
FL
In the registry since
2012
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

809 E Marion Ave
Punta Gorda, FL 33950-3819
Phone: (941) 639-3131
Fax: (941) 637-2579
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9106527 (FL)

Record details

NPI number1649537143
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 20, 2012
Last updated in NPPESJanuary 28, 2014

Other providers in Punta Gorda