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Jordan L Smith, FNP-BC
Family Nurse Practitioner in Johnson City, Tennessee
NPI 1528412301

Jordan L Smith is a Family Nurse Practitioner based in Johnson City, TN and is specialized in Family. Jordan L Smith practices in Johnson City, TN and has the professional credentials of FNP-BC. The NPI Number for Jordan L Smith is 1528412301 and holds a License No. 20864 (Tennessee).

The current practice location address for Jordan L Smith is 301 Med Tech Pkwy Ste 240, Johnson City, TN and can be reached out via phone at 423-794-5520.

Location: 301 Med Tech Pkwy Ste 240, Johnson City, TN, 37602-3889
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528412301
Provider Name
Jordan L Smith
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Male
Address
301 Med Tech Pkwy Ste 240, Johnson City, TN, 37602-3889
Phone Number
423-794-5520
Fax Number
Provider Enumeration Date
04/19/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Q022496 05 TN
institution
Provider Business Practice Location Address Details
Address
301 Med Tech Pkwy Ste 240
City
Johnson City
State
Tennessee
Zip
37604-2641
Phone Number
423-794-5520
Fax Number
person
Provider Business Mailing Address Details
Address
301 Med Tech Pkwy Ste 240
City
Johnson City
State
Tennessee
Zip
37604-2641
Phone Number
423-794-5520
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
20864 (Tennessee)
Definition
Definition to come...
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