Individual
JORDAN MASTALERZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4601 CAROTHERS PKWY STE 375, FRANKLIN, TN 37067-6000
(615) 791-4790
Mailing address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 239-2018
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3965
TN
363AS0400X
Surgical Physician Assistant
3965
TN
Other
Enumeration date
09/24/2019
Last updated
11/12/2025
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