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

Shane Jordan, PA

Individual provider Medical Physician Assistant · NPI 1881132132

Shane Jordan, PA is a Medical Physician Assistant in Brookline, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2017
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

1285 Beacon St
Brookline, MA 02446-5284
Phone: (617) 751-6205
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 PA6034 (MA)

Record details

NPI number1881132132
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedFebruary 7, 2017
Last updated in NPPESFebruary 7, 2017

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