Daniels, Jordan Nicole

Daniels, Jordan Nicole is an sole proprietor health care provider with primary practice located at 1718 Parr Ave Ste A , Dyersburg TN 38024-2075. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / School, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Daniels, Jordan Nicole can be contacted via phone (731) 285-4104.

Contact Information

Primary practice address
1718 Parr Ave Ste A Dyersburg TN 38024-2075
Phone: (731) 285-4104
Fax: (731) 285-8157
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / School 363LS0200X 188484 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 28834 Tennessee

Profile Details

NPI number 1972199644
LBN Legal business name Daniels, Jordan Nicole
Credentials FNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 17th, 2020
Last updated Feb 6th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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