NPI 1215425657
Jordon L Jeans, IDMT
Practice location
- Address
- 4175 S Alamo Ave, Davis Monthan Afb, AZ 85707-4402
- Phone
- (520) 228-2778
Registered specialties
Independent Duty Medical Technicians
Primary
Registry record
- NPI
- 1215425657
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 1 May 2018
- Record last updated
- 2 Apr 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.