Individual
MRS. JEAN WHITLOCK JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.C.D. CCC-SLP
Contact information
Practice address
9040 EXECUTIVE PARK DR, SUITE 105, KNOXVILLE, TN 37923-4640
(423) 618-7871
(865) 769-0801
Mailing address
9040 EXECUTIVE PARK DR, SUITE 105, KNOXVILLE, TN 37923-4640
(423) 618-7871
(865) 769-0801
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0000000569
TN
Other
Enumeration date
07/19/2010
Last updated
07/19/2010
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