Individual
DR. OAKLEY C JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
740 BARTLETT RD, MEMPHIS, TN 38122-3004
(901) 685-8202
(901) 682-3525
Mailing address
764 WALNUT KNOLL LN, CORDOVA, TN 38018-3113
(901) 756-5565
(901) 756-5564
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11264
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3165838
—
TN
01
—
4303405
BCBS
TN
01
—
P00982977
RAILROAD MEDICARE
TN
Enumeration date
03/23/2006
Last updated
04/16/2021
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