Individual
JORDAN IMANI TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
7714 CONNER RD STE 105, POWELL, TN 37849-3559
(865) 947-6220
(865) 512-1069
Mailing address
1923 SULPHUR SPRINGS RD, MORRISTOWN, TN 37813-5654
(423) 317-9344
(423) 714-2355
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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