Individual
EBONI JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
808 GADWALL DR, LEBANON, TN 37090-2020
(615) 766-7075
Mailing address
808 GADWALL DR, LEBANON, TN 37090-2020
(615) 766-7075
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
42518
TN
Other
Enumeration date
07/21/2026
Last updated
07/21/2026
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