Individual
CHANTAL ELISE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
804 KEYLON ST, MANCHESTER, TN 37355-2414
(931) 455-2674
(931) 455-8983
Mailing address
800 4TH AVE S APT 715, NASHVILLE, TN 37210-2376
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
39942
TN
Other
Enumeration date
06/16/2025
Last updated
10/05/2025
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