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Individual

JORDAN PLAXICO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, MSN, APRN, PMHNP

Contact information

Practice address
210 WESTWOOD PL STE 110, BRENTWOOD, TN 37027-7554
(615) 206-2462
(833) 983-2043
Mailing address
719 THOMPSON LN STE 30330, NASHVILLE, TN 37204-4701

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
210223
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
22109
TN

Other

Enumeration date
10/03/2016
Last updated
08/10/2022
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