NPI 1073431656

Jordan Alexandra Geis, PAC

Practitioner Physician Assistant Waldorf, MD

Practice location

Address: 12070 Old Line Ctr STE 212, Waldorf, MD 20602-2567
Phone: (301) 710-0455

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Registry record

NPI: 1073431656
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Jul 2026
Record last updated: 9 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.