Healthcare Provider Details

I. General information

NPI: 1730636911
Provider Name (Legal Business Name): JORDAN NICOLE MILANAIK PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JORDAN NICOLE WOODS

II. Dates (important events)

Enumeration Date: 09/06/2016
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 PLAINSBORO RD
PLAINSBORO NJ
08536-1913
US

IV. Provider business mailing address

1 PLAINSBORO RD
PLAINSBORO NJ
08536-1913
US

V. Phone/Fax

Practice location:
  • Phone: 609-853-7204
  • Fax: 609-853-7208
Mailing address:
  • Phone: 609-853-7204
  • Fax: 609-853-7208

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License NumberMA058377
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number25MP00413600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: