Individual
JORDAN BRUSH MCCREARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2018 W CLINCH AVE, KNOXVILLE, TN 37916-2301
(865) 541-8000
Mailing address
3211 FOUNTAIN PARK BLVD, KNOXVILLE, TN 37917-2957
(901) 604-1851
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
175432
TN
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
23519
TN
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
23519
TN
363L00000X
Nurse Practitioner
Primary
23519
TN
363LF0000X
Family Nurse Practitioner
23519
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2017025275
ANCC
—
01
—
23519
STATE TENNESSEE APRN LICENSE
TN
Enumeration date
11/13/2017
Last updated
03/07/2023
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