Individual
MARY ELIZABETH JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1515 SAINT MARY ST, KNOXVILLE, TN 37917-4503
(800) 255-9711
(727) 866-4485
Mailing address
200 TECH CENTER DR, KNOXVILLE, TN 37912-2747
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
326704
LA
2084P0800X
Psychiatry Physician
Primary
5577
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
326704
LA LICENSE
LA
Enumeration date
03/20/2019
Last updated
12/10/2024
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