Blake Jordan, PA-C

NPI 1740159060 · on the registry since 2025

Practice

Address: 1784 Uinta Way Ste E
Park City, UT 84098
Phone: (435) 604-0160
Organisation at this address: Stat-Md I
Stat Md Llc
Jupiter Medical I Llc
Apex Concierge Medicine Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 12

Registry record

Primary taxonomy: 363AM0700X
363AM0700X
Licence states on file: UT
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-11-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah