Individual
JORDAN L DYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
7701 CORRYTON RD, CORRYTON, TN 37721-2630
(865) 992-3031
(865) 992-8103
Mailing address
PO BOX 316, CORRYTON, TN 37721-0316
(865) 992-3031
(865) 992-8103
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20160
TN
Other
Enumeration date
07/17/2015
Last updated
08/11/2016
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