Individual
JORDAN O'MALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8401 SEASONS PKWY STE 300, WOODBURY, MN 55125-3476
(888) 938-3838
(888) 919-1083
Mailing address
10001 W INNOVATION DR STE 200, MILWAUKEE, WI 53226-4851
(888) 938-3838
(888) 919-1083
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15374
MN
Other
Enumeration date
08/01/2023
Last updated
09/03/2025
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