DR. JORDAN MACKNER MD
NPI 1740553957
Student in an Organized Health Care Education/Training Program in Tucson, AZ

Q: What is Jordan Mackner's NPI number?

The NPI number for Jordan Mackner is 1740553957. It was assigned to this individual provider in the NPPES registry on February 17, 2012.

Q: What is Jordan Mackner's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jordan Mackner was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since February 17, 2012

5301 E GRANT RD, TUCSON, AZ 85712(520) 324-5095 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 30, 2026, Jul 21, 2022, Jun 28, 2017 (3 updates tracked since 2017).

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About Dr. Jordan Mackner Md NPPES

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

DR. JORDAN MACKNER MD (NPI 1740553957) is an individual student in an organized health care education/training program in Tucson, Arizona and active in the NPI registry since February 2012.

NPPES Registry Identity

NPI1740553957

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. JORDAN MACKNERCredential: MD

Location Address5301 E GRANT RDTucson, AZ 85712-2874

Mailing Address5301 E Grant RdTucson, AZ 85712-2805 · (520) 324-5095

Phone(520) 324-5095

Sole ProprietorNo

Enumeration DateFebruary 17, 2012

Last NPPES UpdateMarch 30, 20263 updates tracked since enumeration

NPPES CertifiedMarch 30, 2026

✔ NPI 1740553957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

5301 E GRANT RD, Tucson, AZ 85712

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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.

HOLLY JEANNE GRAHAM M.D.

Anesthesiology

5301 E GRANT RD, THMEP
TUCSON, AZ 85712

Pima County (520) 324-5095

SAMANTHA PENN PHARMD

Pharmacist