Patricia W Jordan, APN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APN05312 Issued in TN

Practice address

1615 McMinnville Hwy
Manchester, TN 37355-3179

Phone

(931) 728-6205

Fax

(931) 728-9818

NPI assigned

Sep 16, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Internal Medicine Associates of Tullahoma PC

  dba Internal Medicine Associates

  • Internal Medicine Physician
  • Tullahoma, TN
  • NPI 1811094022
  NPD (past)
• Nolin Family Practice PC

  • Family Medicine Physician
  • Shelbyville, TN
  • NPI 1730328196
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1932205903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WILLIAM NORTHERN BLVD",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373884754",
            "telephone_number": "931-454-0489",
            "fax_number": "931-454-2348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 MCMINNVILLE HWY",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373553179",
            "telephone_number": "931-728-6205",
            "fax_number": "931-728-9818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "PATRICIA",
        "middle_name": "W",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN05312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "4139434",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3347158",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeremy and Summer Anderson
• Hamidreza Cody Jobehdari, PHARM. D
• Teagan Perry Jones, PA-C
• Vickie Jones, CFNP
• Chantal Elise Jordan
• Jamie Keele, OD
• Katherine Elizabeth Keen Saunders, D.D.S.
• Linda Elaine Kennedy, RN
• Laura N Kimball, NP
• Leslie M King, PHARM.D.

• Nurse Practitioner in Manchester, TN
• Providers in Manchester, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.