IndividualActive
Alexander Jordan, PA-C
NPI 1730877010 · Physician Assistant · Lake Charles, LA
Provider details
- NPI number
- 1730877010
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 335456 (LA)
Practice location
2770 3rd Ave Ste 120
Lake Charles, LA 70601-8994
Phone: (337) 494-4868
Fax: (337) 494-4870
Mailing address
Po Box 122342
Dallas, TX 75312-2342
Registry dates
- Enumerated
- 2023-04-25
- Last updated
- 2024-09-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.