Individual
JORDAN IVY WINDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
113 MAPLE ROW BLVD STE B, HENDERSONVILLE, TN 37075-3860
(615) 265-8776
Mailing address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 239-2018
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5825
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/12/2023
Last updated
03/26/2024
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