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

MS. Jennifer Jean Jordan, PA

Individual provider Procedural Dermatology Physician · NPI 1164534699

MS. Jennifer Jean Jordan, PA is a Physician Assistant in Austin, Texas. Qualified in 2005, 21 years ago. Practices with Sanova Dermatology PLLC, a 15-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
21
Licensed in
TX
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

5145 Fm 620 N Ste B-110
Austin, TX 78732-1815
Phone: (512) 266-0007
Fax: (512) 266-0077
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA04718 (TX)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence PA04718 (TX)

Record details

NPI number1164534699
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 31, 2006
Last updated in NPPESMay 11, 2020
Certification dateMay 11, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Sanova Dermatology Pllc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Austin