Jordan Nicole McNeil, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Dyersburg, TN
NPI 1972199644 · NPPES record last updated Jul 6, 2026
Key facts
- NPI
- 1972199644
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 28834 (TN)
- Practice address
- 1718 Parr Ave Ste a
Dyersburg, TN 38024-2075 - Phone
- (731) 285-4104
- Fax
- (731) 285-8157
- NPI assigned
- Dec 17, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- WT Medical Associates
Practice addresses (Care Compare)
1718 Parr Ave
Suite a
Dyersburg, TN 38024-2075
Phone (731) 285-4104
Hospital & facility affiliations
- Jackson-Madison County General Hospital
- Dyersburg Regional Medical Center
- Lauderdale Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.74 of 100
- Quality
- 85.23
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210427000410 | TN | Practitioner - Nurse Practitioner | 4880002153 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 188484 | TN | MD | School Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WT Medical Associates | Single Specialty | Current |
Accepting new patients |
| WT Medical Associates | Current |
Accepting new patients |
Locations
420 Wilkinson Dr
Fl 2
Dyersburg, TN 38024
Phone (731) 285-5133
1718 Parr Ave
Ste A
Dyersburg, TN 38024
Phone (731) 285-4104
1804 Highway 45 Byp
Ste 604
Jackson, TN 38305
Phone (731) 512-1273
Interoperability endpoints
- jdaniels18713@directepic.wth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Nurse Practitioner |
363LS0200X | 188484 | TN | |
| Family Nurse Practitioner | 363LF0000X | 28834 | TN | Yes |
Addresses
Primary practice location
1718 Parr Ave Ste a
Dyersburg, TN 38024-2075
Mailing address
1718 Parr Ave Ste a
Dyersburg, TN 38024-2075
Phone (731) 285-4104
Other names
- Jordan Nicole Patrick
Other providers in Dyersburg, TN
- Callie Beth McIntire
- William Neil McKee
- Kristy Anne McLaughlin
- Katie Privett McLemore
- Hannah W McNeil
- Sandra Elder McNeill
- Edward B McWhirt
- Medsouth Healthcare PC
- Amber Elaine Mejia
- Stevens D Melton
All providers in Dyersburg, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2026. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.