IndividualActive
Caitlin Jordan, PA-C
NPI 1831745710 · Medical Physician Assistant · Lake City, SC
Provider details
- NPI number
- 1831745710
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 3226 (SC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
276 N Ron Mcnair Blvd
Lake City, SC 29560-2462
Phone: (843) 792-1414
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 23467
New York, NY 10087-3221
Additional practice locations (1)
- 360 N Irby StFlorence, SC 29501-2808Phone: (843) 667-9414Fax: (843) 667-1362
Registry dates
- Enumerated
- 2019-08-15
- Last updated
- 2023-01-20
- Certified
- 2023-01-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.