Individual
JORDAN SCOTT NICKELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 PARK BLVD, ROGERSVILLE, TN 37857-2912
(423) 347-6021
Mailing address
300 PARK BLVD, ROGERSVILLE, TN 37857-2912
(423) 347-6021
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024198030
VA
363LF0000X
Family Nurse Practitioner
Primary
42437
TN
Other
Enumeration date
07/21/2026
Last updated
07/21/2026
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