Individual
JORDAN L PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3200 E RACINE ST, JANESVILLE, WI 53546-2343
(608) 371-8000
(608) 371-8945
Mailing address
3200 E RACINE ST, JANESVILLE, WI 53546-2343
(608) 371-8000
(608) 371-8945
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3581-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699158626
—
WI
Enumeration date
07/08/2015
Last updated
08/19/2025
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