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Contact Information

JORDAN M WILKINS
1546 6TH
TWENTYNINE PALMS, CA92277
 Phone: 760-830-2621
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Independent Duty Corpsman

1710I1002X
Indicates primary specialty

NPI Profile & details for JORDAN M WILKINS · (Male)

NPI # 1023384401
Status Active
Credentials
Entity Individual
Enumeration date 03/29/2012
Last updated 01/26/2026 - About 4 months ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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