Individual
JORDAN WASDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
114 W CHERRY ST, JESUP, GA 31545-1309
(912) 588-1020
(912) 588-1002
Mailing address
114 W CHERRY ST, JESUP, GA 31545-1309
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13082
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
GA
Other
Enumeration date
03/22/2025
Last updated
04/14/2026
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