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Individual

JORDAN KING HUNDERUP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
176C W UNIVERSITY PKWY # C, JACKSON, TN 38305-1616
(731) 660-6915
Mailing address
743 ALECIA PAGE CV, HUMBOLDT, TN 38343-3632
(731) 414-1634

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
42313
TN

Other

Enumeration date
07/13/2026
Last updated
07/13/2026
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