IndividualActive
Jon Jordan, CRNA
NPI 1508180613 · Certified Registered Nurse Anesthetist · Providence, RI
Provider details
- NPI number
- 1508180613
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- License
- RNA36708 (RI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
593 Eddy Street
Davol 129
Providence, RI 02903-4923
Phone: (401) 444-4933
Fax: (401) 444-5090
Approximate (ZIP-level) locationGet directions
Mailing address
One Virginia Avenue
Providence, RI 02905
Registry dates
- Enumerated
- 2010-03-18
- Last updated
- 2013-10-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.