Individual
JORDAN HUMPHREYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
392 N MAIN ST, DECATUR, TN 37322-7759
(423) 565-0200
Mailing address
392 N MAIN ST, DECATUR, TN 37322-7759
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
43791
TN
Other
Enumeration date
05/20/2026
Last updated
05/20/2026
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