Individual
MRS. JORDAN MARIE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1642 WESTGATE CIR STE 202, BRENTWOOD, TN 37027-8195
(615) 941-8550
(615) 941-8507
Mailing address
1642 WESTGATE CIR STE 202, BRENTWOOD, TN 37027-8195
(615) 941-8550
(615) 941-8507
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
18761
TN
Other
Enumeration date
07/09/2014
Last updated
05/08/2018
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