Individual
JORDAN AMADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
725 RESERVOIR AVE STE 101, CRANSTON, RI 02910-4450
(401) 457-1500
Mailing address
1 KETTLE POINT AVE, EAST PROVIDENCE, RI 02914-5375
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01902
RI
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/20/2026
Last updated
04/28/2026
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