Jorden Gentry, PA-C
NPI #1235967266 in Springfield, Illinois
Provider Information
- NPI Number
- 1235967266
- Entity Type
- Individual
- Name
- Jorden Gentry, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Jul 22, 2024
- Last Updated
- Sep 24, 2024
Practice Location
- Address
- 3220 ATLANTA ST STE 100
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62707-8801
- Phone
- (217) 545-4968
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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