Jordan Nicole Gladstone, P.A.-C
Physician Assistant in Cooperstown, NY. Individual provider (NPI-1).
NPI number1295085652
StatusActive
Last updated in NPPESJun 12, 2026
Details
- NPI
- 1295085652
- Entity type
- Individual (NPI-1)
- Name
- Ms. Jordan Nicole Gladstone
- Credential
- P.A.-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 13, 2012
- Certification date
- Jun 12, 2026
- Last updated
- Jun 12, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 034759 | NY | Yes |
| 363A00000X | Physician Assistant | 0010-03757 | NC |
Practice location
1 Atwell RdCooperstown, NY 13326
Phone 607-547-3456
Mailing address
1 Atwell RdCooperstown, NY 13326-1394
Phone 607-547-3034 · Fax 607-547-7732
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All 89 Physician Assistant providers in Cooperstown · All 907 providers in Cooperstown
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