Individual
REBECCA T JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
257 PATTON LANE, HARRIMAN, TN 37748
(865) 354-3941
Mailing address
127 PATTON LANE, HARRIMAN, TN 37748
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
2365
TN
Other
Enumeration date
05/01/2013
Last updated
05/01/2013
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