JORDAN ROUNDTREE

LEBANON, TN
NPI1871286989
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TN  34146)
Enumeration Date2023-06-02
Last Update Date2024-06-26
Business Address
JORDAN ROUNDTREE APRN, PMHNP
142 PUBLIC SQ STE E-104
LEBANON, TN 37087-2871
Phone number: 931-288-4619
Mailing Address
JORDAN ROUNDTREE APRN, PMHNP
142 PUBLIC SQ STE E-104
LEBANON, TN 37087-2871
Phone number: 931-288-4619