Jordan Riley Dunson, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Chattanooga, TN
NPI 1104568633 · NPPES record last updated Apr 13, 2022
Key facts
- NPI
- 1104568633
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 975 E 3Rd St # 260
Chattanooga, TN 37403-2173 - Phone
- (423) 778-9008
- Fax
- (423) 778-9009
- NPI assigned
- Apr 13, 2022
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
975 E 3Rd St # 260
Chattanooga, TN 37403-2173
Mailing address
975 E 3Rd St # 260
Chattanooga, TN 37403-2173
Phone (423) 778-9008
Other providers in Chattanooga, TN
- Kristy Dunn
- Terence Sean Dunn
- Thomas R. Dunn
- James C Dunning
- Elishia Dunson
- Rebecca Lynn Dunston
- Johannes J Duplooy
- Karla Del Carmen Dupre
- Antoinette Dupree
- Elizabeth Kaye Dupree
All providers in Chattanooga, TN · Student in an Organized Health Care Education/Training Program in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 13, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.