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1528412301
JORDAN L SMITH
JOHNSON CITY, TN
NPI
1528412301
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 20864)
Enumeration Date
2016-04-19
Last Update Date
2021-05-25
Business Address
JORDAN L SMITH FNP-BC
301 MED TECH PKWY STE 240
JOHNSON CITY, TN 37604-2641
Phone number: 423-794-5520
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Mailing Address
JORDAN L SMITH FNP-BC
PO BOX 3889
JOHNSON CITY, TN 37602-3889
Phone number: 423-433-6625
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