Jordan Elizabeth Carroll, PA-C
Physician Assistant in Paducah, KY. Individual provider (NPI-1).
NPI number1982257044
StatusActive
Last updated in NPPESAug 27, 2024
Details
- NPI
- 1982257044
- Entity type
- Individual (NPI-1)
- Name
- Jordan Elizabeth Carroll
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 18, 2019
- Certification date
- Aug 27, 2024
- Last updated
- Aug 27, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA2536 | KY | Yes |
Other names
- Jordan Elizabeth Reynolds (Former Name)
Practice location
1530 Lone Oak RdPaducah, KY 42003-7901
Phone 271-444-2444
Mailing address
200 Clint Hill BlvdPaducah, KY 42001-6768
Phone 270-442-9461
Other practice locations
200 Clint Hill Blvd
Paducah, KY 42001-6768
Paducah, KY 42001-6768
Phone 270-442-9461
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