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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JORDAN BURRIS
NPI 1609795715
Student in an Organized Health Care Education/Training Program in Zimmerman, MN

Active since July 13, 2026
25887 16TH ST W, ZIMMERMAN, MN 55398(763) 498-1512 Get Directions Write a Review

NPPES record added: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jordan Burris NPPES

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

JORDAN BURRIS (NPI 1609795715) is an individual student in an organized health care education/training program in Zimmerman, Minnesota and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1609795715
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJORDAN BURRIS
Location Address25887 16TH ST WZimmerman, MN 55398-4510
Mailing Address25887 16th St WZimmerman, MN 55398-4510 · (763) 498-1512
Phone(763) 498-1512
Sole ProprietorYes
Enumeration DateJuly 13, 2026
NPPES CertifiedJuly 13, 2026
✔ NPI 1609795715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
25887 16TH ST W, Zimmerman, MN 55398
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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 Burris's NPI number?

The NPI number for Jordan Burris is 1609795715. It was assigned to this individual provider in the NPPES registry on July 13, 2026.

Where is Jordan Burris located?

Jordan Burris practices at 25887 16th St W, Zimmerman, MN 55398. The listed phone number is (763) 498-1512.

What is Jordan Burris's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jordan Burris was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.