# JEANA JORDE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1346275062
- **Gender:** F
- **Credential:** PA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PAC0275 | ND | Yes |

## Other

- **Enumeration date:** 07/11/2006
- **Last updated:** 06/10/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 24119 | BCBS PROVIDER \# | ND |
| 01 | — | 24226 | BCBS PROVIDER \# | ND |
| 05 | — | 71287 | — | ND |
| 05 | — | 849658700 | — | MN |