Individual
JORDAN LEAH STEPHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-4000
Mailing address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-4000
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
MA067202
PA
Other
Enumeration date
12/04/2025
Last updated
12/04/2025
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