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NPI Code Detail

MEDICARE: DR. JORDAN FITZGERALD DNP

MEDICARE:  DR. JORDAN  FITZGERALD  DNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist4053931KY

General Provider Information

NPI Number : 1740146943
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JORDAN FITZGERALD DNP
Provider Business Mailing Address
First Line : 6671 OLD HINKLEVILLE RD
Second Line :
City : PADUCAH
State : KY
Zip : 42001-9526
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1530 LONE OAK RD
Second Line :
City : PADUCAH
State : KY
Zip : 42003-7901
Country : US
Telephone Number : 270-444-2444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/31/2025
Last Update Date : 04/06/2026

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Directions to “ DR. JORDAN FITZGERALD DNP” Practice Location

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