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JORDAN TAYLOR HENNESSY
NPI 1225989692
Physician Assistant in San Diego, CA

Active since February 03, 2026
34800 BOB WILSON DR, SAN DIEGO, CA 92134(619) 532-8135 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jordan Taylor Hennessy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JORDAN TAYLOR HENNESSY (NPI 1225989692) is an individual physician assistant in San Diego, California and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1225989692
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJORDAN TAYLOR HENNESSY
Location Address34800 BOB WILSON DRSan Diego, CA 92134-1098
Mailing Address3323 Needlegrass CtSan Diego, CA 92115-8237 · (760) 902-0669
Phone(619) 532-8135
Sole ProprietorNo
Enumeration DateFebruary 3, 2026
NPPES CertifiedFebruary 3, 2026
✔ NPI 1225989692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
34800 BOB WILSON DR, San Diego, CA 92134
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LORENA MARIE FUJII N.P.
Nurse Practitioner (Pediatrics)
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-8910
LAKIESHA NICOLE MURPHY
Nurse's Aide
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 713-3385
SUSANNA BYRNE D.O.
Anesthesiology
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-6400
DR. PAUL CHARLES CAMPBELL D.O.
Urology (Pediatric Urology)
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-7200
PHILLIP EDWARD FRY JR. DO
Emergency Medicine
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-6400
BRADLY JAMES STILLEY IDC
Military Health Care Provider (Independent Duty Corpsman)
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (360) 941-9989
DR. ELIZABETH WHIPPLE PHD
Military Health Care Provider
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-6400
DR. ELAN HARDER BRESSLOUR-RASHAP MD
General Practice
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-6400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jordan Hennessy's NPI number?

The NPI number for Jordan Hennessy is 1225989692. It was assigned to this individual provider in the NPPES registry on February 3, 2026.

Where is Jordan Hennessy located?

Jordan Hennessy practices at 34800 Bob Wilson Dr, San Diego, CA 92134. The listed phone number is (619) 532-8135.

What is Jordan Hennessy's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Jordan Hennessy was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.