person
Jordan Frazier Shelburne, FNP
Family Nurse Practitioner in Johnson City, Tennessee
NPI 1083202725

Jordan Frazier Shelburne is a Family Nurse Practitioner based in Kingsport, TN and is specialized in Family. Jordan Frazier Shelburne practices in Johnson City, TN and has the professional credentials of FNP. The NPI Number for Jordan Frazier Shelburne is 1083202725 and holds a License No. 28750 (Tennessee).

The current practice location address for Jordan Frazier Shelburne is 2410 Susannah St, Johnson City, TN and can be reached out via phone at 423-282-9011.

Location: 2410 Susannah St, Johnson City, TN, 37664-2986
person
Provider Profile Details
NPI Number
1083202725
Provider Name
Jordan Frazier Shelburne
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
2410 Susannah St, Johnson City, TN, 37664-2986
Phone Number
423-282-9011
Fax Number
Provider Enumeration Date
01/07/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
28750 01 TN STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
2410 Susannah St
City
State
Zip
37601-1748
Phone Number
423-282-9011
Fax Number
person
Provider Business Mailing Address Details
Address
2410 Susannah St
City
State
Zip
37601-1748
Phone Number
423-282-9011
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
28750 (Tennessee)
Definition
Definition to come...
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