Individual
JORDYN LYNN VAN NORTWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6600 MADISON ST, NEW PORT RICHEY, FL 34652-1971
(727) 842-8468
Mailing address
5577 TRAIL SIDE DR, PORT ORANGE, FL 32127-9330
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/25/2025
Last updated
04/25/2025
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