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1871286989
JORDAN ROUNDTREE
LEBANON, TN
NPI
1871286989
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TN 34146)
Enumeration Date
2023-06-02
Last Update Date
2024-06-26
Business Address
JORDAN ROUNDTREE APRN, PMHNP
142 PUBLIC SQ STE E-104
LEBANON, TN 37087-2871
Phone number: 931-288-4619
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Mailing Address
JORDAN ROUNDTREE APRN, PMHNP
142 PUBLIC SQ STE E-104
LEBANON, TN 37087-2871
Phone number: 931-288-4619
Copy
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