Individual
DR. FRANK EDWIN JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
160C W UNIVERSITY PKWY, JACKSON, TN 38305-1667
(731) 660-5116
(731) 554-0306
Mailing address
23 WINDWOOD DR, JACKSON, TN 38305-8835
(731) 664-8126
(731) 660-5119
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD14614
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3005044
—
TN
Enumeration date
09/26/2005
Last updated
08/14/2015
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