Individual
DR. JORDAN JOSEPH GASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
490 DUNLOP LN, CLARKSVILLE, TN 37040-5007
(931) 245-7000
(931) 245-8660
Mailing address
PO BOX 3799, CLARKSVILLE, TN 37043-3799
(931) 245-7000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01079235A
IN
207Q00000X
Family Medicine Physician
Primary
67576
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q081643
—
TN
Enumeration date
06/17/2016
Last updated
07/28/2023
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