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Individual

MR. JORDAN ANDREW STOVALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHNP-BC

Contact information

Practice address
1015 N HIGHLAND AVE, MURFREESBORO, TN 37130-2450
(615) 396-6472
(615) 396-6485
Mailing address
1015 N HIGHLAND AVE, MURFREESBORO, TN 37130-2450
(615) 396-6472
(615) 396-6485

Taxonomy

Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
219467
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
27045
TN

Other

Enumeration date
01/02/2020
Last updated
05/17/2023
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