Individual
JORDAN HIBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
162 BMH PHYSICIANS OFFICE BLDG, MARYVILLE, TN 37804-5902
(865) 238-6161
(865) 238-6170
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
29151
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q064824
—
TN
Enumeration date
03/24/2021
Last updated
10/28/2025
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