Jordan Blythe, PA-C

NPI #1548972409 in West Fork, Arkansas

Provider Information

NPI Number: 1548972409
Entity Type: Individual
Name: Jordan Blythe, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Dec 21, 2022
Last Updated: Apr 10, 2025

Practice Location

Address: 451 PHILLIPS ST
City: West Fork
State: Arkansas
ZIP Code: 72774-2813
Phone: (479) 294-6085

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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