Jordan Lee Sandoval, is a
Nurse Practitioner - Family based in Stewartstown, Pennsylvania. Jordan Lee Sandoval is licensed to practice in Pennsylvania (license number SP036263) and his current practice location is
200 Bailey Dr Ste 101, Stewartstown, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(717) 993-2543.
NPI number for Jordan Lee Sandoval is 1972433936 and his current mailing address is 200 Bailey Dr Ste 101, Stewartstown, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1972433936.
Provider's Profile
| Full Name | Jordan Lee Sandoval |
|---|
| Gender | Male |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 200 Bailey Dr Ste 101, Stewartstown, Pennsylvania |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1972433936
- Provider Enumeration Date: 05/21/2026
- Last Update Date: 06/29/2026
Medical Identifiers
Medical identifiers for Jordan Lee Sandoval such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1972433936 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363L00000X | Nurse Practitioner | SP036263 (Pennsylvania) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | SP036263 (Pennsylvania) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jordan Lee Sandoval is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Jordan Lee Sandoval, 200 Bailey Dr Ste 101, Stewartstown, PA 17363-8297 Ph: (717) 993-2543 | Jordan Lee Sandoval, 200 Bailey Dr Ste 101, Stewartstown, PA 17363-8297 Ph: (717) 993-2543 |
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