Jordan, Patricia W

Jordan, Patricia W is an individual health care provider with primary practice located at 1615 Mcminnville Hwy , Manchester TN 37355-3179. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Jordan, Patricia W can be contacted via phone (931) 728-6205.

Contact Information

Primary practice address
1615 Mcminnville Hwy Manchester TN 37355-3179
Phone: (931) 728-6205
Fax: (931) 728-9818
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APN05312 Tennessee

Profile Details

NPI number 1932205903
LBN Legal business name Jordan, Patricia W
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated Jul 9th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1932205903 NPPES
Tennessee Other 4139434 BLUE CROSS
Tennessee MEDICAID 3347158 BLUE CROSS

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