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BREANNA JORDAN FNP
NPI 1336091768
Nurse Practitioner - Primary Care in La Jolla, CA

Active since February 10, 2026
8867 VILLA LA JOLLA DR STE 610, LA JOLLA, CA 92037(858) 321-3500 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Breanna Jordan Fnp NPPES

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

BREANNA JORDAN FNP (NPI 1336091768) is an individual primary care provider in La Jolla, California, licensed in California (95036991) and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1336091768
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameBREANNA JORDANCredential: FNP
Location Address8867 VILLA LA JOLLA DR STE 610La Jolla, CA 92037-1972
Mailing Address8867 Villa La Jolla Dr Ste 610La Jolla, CA 92037-1972
Phone(858) 321-3500
Sole ProprietorYes
Enumeration DateFebruary 10, 2026
NPPES CertifiedFebruary 10, 2026
✔ NPI 1336091768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in CA · 95036991
8867 VILLA LA JOLLA DR STE 610, La Jolla, CA 92037
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Breanna Jordan's NPI number?

The NPI number for Breanna Jordan is 1336091768. It was assigned to this individual provider in the NPPES registry on February 10, 2026.

Where is Breanna Jordan located?

Breanna Jordan practices at 8867 Villa La Jolla Dr Ste 610, La Jolla, CA 92037. The listed phone number is (858) 321-3500.

What is Breanna Jordan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Breanna Jordan was last updated on February 10, 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.