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JORDAN ANDERSON
NPI 1972274660
Physician Assistant - Medical in Plymouth, MN

Active since September 23, 2021
15655 37TH AVE N STE 100, PLYMOUTH, MN 55446(612) 293-7822(630) 509-4420 Get Directions Write a Review

NPPES record last updated: October 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 6, 2023, Sep 23, 2021 (2 updates tracked since 2021).

About Jordan Anderson NPPES

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

JORDAN ANDERSON (NPI 1972274660) is an individual medical provider in Plymouth, Minnesota, licensed in Minnesota (14624) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1972274660
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJORDAN ANDERSON
Location Address15655 37TH AVE N STE 100Plymouth, MN 55446-4003
Mailing Address200 1st St SwRochester, MN 55905-0001 · (507) 284-2511
Phone(612) 293-7822
Fax(630) 509-4420
Sole ProprietorNo
Enumeration DateSeptember 23, 2021
Last NPPES UpdateOctober 6, 20232 updates tracked since enumeration
NPPES CertifiedOctober 6, 2023
✔ NPI 1972274660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MN · 14624
15655 37TH AVE N STE 100, Plymouth, MN 55446
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Other Providers at the Same Location NPPES 16

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

KRISTIN M EGAN PA-C
Physician Assistant
15655 37TH AVE N STE 100
PLYMOUTH, MN 55446
Hennepin County (763) 587-7900
MR. MANCEL TALCOTT MITCHELL III M.D.
Family Medicine
15655 37TH AVE N STE 100
PLYMOUTH, MN 55446
Hennepin County (763) 587-7900
ALEXANDRA TSVILINA MD, PHD
Family Medicine
15655 37TH AVE N STE 100
PLYMOUTH, MN 55446
Hennepin County (763) 587-7900
SALLY H ENGEBRETSON DO
Internal Medicine
15655 37TH AVE N STE 100
PLYMOUTH, MN 55446
Hennepin County (763) 587-7900
PAMELA S JAWORSKI M.D.
Family Medicine
15655 37TH AVE N STE 100
PLYMOUTH, MN 55446
Hennepin County (763) 587-7900
AMY KAY BOSTIC PA-C
Physician Assistant
15655 37TH AVE N STE 100
PLYMOUTH, MN 55446
Hennepin County (763) 587-7900
GARY ALAN NISIUS MD
Family Medicine
15655 37TH AVE N STE 100
PLYMOUTH, MN 55446
Hennepin County (763) 587-7900
THOMAS T SWAN MD
Family Medicine
15655 37TH AVE N STE 100
PLYMOUTH, MN 55446
Hennepin County (763) 587-7900

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 Anderson's NPI number?

The NPI number for Jordan Anderson is 1972274660. It was assigned to this individual provider in the NPPES registry on September 23, 2021.

Where is Jordan Anderson located?

Jordan Anderson practices at 15655 37th Ave N Ste 100, Plymouth, MN 55446. The listed phone number is (612) 293-7822.

What is Jordan Anderson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Jordan Anderson was last updated on October 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.