Individual
BREANNA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
34 GARLAND DR, JACKSON, TN 38305-3654
(731) 668-9070
Mailing address
418 COPPER CREEK DR, JACKSON, TN 38305-5702
(731) 499-0722
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7504
TN
Other
Enumeration date
11/16/2022
Last updated
11/16/2022
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