Individual
JORDAN KILGORE HARDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
401 S MOUNT JULIET RD, MOUNT JULIET, TN 37122-6359
(615) 758-1524
Mailing address
3006 S WATERFORD CT, MOUNT JULIET, TN 37122-7533
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0000224072
TN
363LF0000X
Family Nurse Practitioner
Primary
31246
TN
Other
Enumeration date
03/03/2022
Last updated
04/11/2022
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