Individual
JORDAN ROLLA RENARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
875 UNION AVE, MEMPHIS, TN 38103-3513
(901) 448-6240
Mailing address
2540 BROAD AVE APT 253, MEMPHIS, TN 38112-2633
(316) 655-2782
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
TN
Other
Enumeration date
03/30/2026
Last updated
04/24/2026
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