Jordyn Louise Massop, PA-C
Physician Assistant in St Louis Park, MN. Individual provider (NPI-1).
NPI number1154031334
StatusActive
Last updated in NPPESMar 16, 2023
Details
- NPI
- 1154031334
- Entity type
- Individual (NPI-1)
- Name
- Jordyn Louise Massop
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 29, 2022
- Certification date
- Mar 16, 2023
- Last updated
- Mar 16, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 14336 | MN | Yes |
| 363A00000X | Physician Assistant | – | – |
Practice location
6500 Excelsior BlvdSt Louis Park, MN 55426-4702
Phone 612-242-4285
Mailing address
8170 33rd Ave S # Ms 21110qBloomington, MN 55425-4516
Other practice locations
8325 34th Ave N
New Hope, MN 55427-1828
New Hope, MN 55427-1828
Phone 612-242-4285
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All 110 Physician Assistant providers in St Louis Park · All 3,529 providers in St Louis Park
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