Individual
JORDAN NIKOLE RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8930 CROSS PARK DR STE 1, KNOXVILLE, TN 37923-4713
(865) 407-2083
Mailing address
8930 CROSS PARK DR STE 1, KNOXVILLE, TN 37923-4713
(865) 407-2083
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB891567
TN
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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