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Contact Information

JORDAN N DANIELS, FNP-BC
1718 PARR AVE STE A
DYERSBURG, TN38024-2075
 Phone: 731-285-4104
 Fax: 731-285-8157
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

School

363LS0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JORDAN N DANIELS · (Female)

NPI # 1972199644
Status Active
Credentials FNP-BC (Family Nurse Practitioner)
Entity Individual
Enumeration date 12/17/2020
Last updated 02/06/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • TN License # 188484
  • TN License # 28834
Hospital affiliation(s)
  • DYERSBURG REGIONAL MEDICAL CENTER - (Acute Care)
    400 TICKLE ST
    DYERSBURG, TN 38024
  • LAUDERDALE COMMUNITY HOSPITAL - (Critical Access)
    326 ASBURY AVENUE
    RIPLEY, TN 38063
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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