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

MS. Michelle Lynne Jordan, PA-C

Individual provider Medical Physician Assistant · NPI 1649440520

MS. Michelle Lynne Jordan, PA-C is a Physician Assistant in Tampa, Florida. Qualified in 2007, 19 years ago. Practices with Palm Harbor Dermatology PA, a 32-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
19
Licensed in
FL
In the registry since
2008
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

11601 Sheldon Rd
Tampa, FL 33626-4306
Phone: (813) 324-6630
Fax: (813) 926-1500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA9104461 (FL)

Record details

NPI number1649440520
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 6, 2008
Last updated in NPPESAugust 29, 2022
Certification dateNovember 17, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Palm Harbor Dermatology Pa — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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