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Individual

JORDAN D RUPP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1313 21ST AVE S, 703 OXFORD HOUSE, NASHVILLE, TN 37232-0001
(615) 936-6129
(615) 936-6129
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 936-2000

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01071865A
IN
207P00000X
Emergency Medicine Physician
Primary
51160
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201102130
IN
05
Q005917
TN
Enumeration date
05/12/2011
Last updated
04/25/2025
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