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Jordan Alexandra Geis, PA-C

Physician Assistant in Waldorf, MD. Individual provider (NPI-1).

NPI number1073431656
StatusActive
Last updated in NPPESJul 9, 2026

Details

NPI
1073431656
Entity type
Individual (NPI-1)
Name
Jordan Alexandra Geis
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Jul 9, 2026
Certification date
Jul 9, 2026
Last updated
Jul 9, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant––Yes

Practice location

12070 Old Line Ctr Ste 212
Waldorf, MD 20602-2567

Phone 301-710-0455

Mailing address

12070 Old Line Ctr Ste 212
Waldorf, MD 20602-2567

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