IndividualActive
Jordan Tichenor
NPI 1003299827 · Infectious Disease Physician · Duluth, MN
Provider details
- NPI number
- 1003299827
- Entity type
- Individual
- Primary specialty
- Infectious Disease PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- 77711 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Pharmacy Service Providers
Practice location
400 E 3rd St
Duluth, MN 55805-1951
Phone: (218) 786-3737
Fax: (187) 278-3282
Approximate (ZIP-level) locationGet directions
Mailing address
400 E 3rd St
Duluth, MN 55805-1951
Registry dates
- Enumerated
- 2015-06-30
- Last updated
- 2024-05-07
- Certified
- 2024-05-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.