Individual
JORDYN LOUISE MASSOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6500 EXCELSIOR BLVD, ST LOUIS PARK, MN 55426-4702
(612) 242-4285
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14336
MN
363A00000X
Physician Assistant
—
—
Other
Enumeration date
11/29/2022
Last updated
03/16/2023
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