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Contact Information

CHANTAL E JORDAN
804 KEYLON ST
MANCHESTER, TN37355-2414
 Phone: 931-455-2674
 Fax: 931-455-8983
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for CHANTAL E JORDAN · (Female)

NPI # 1629964846
Status Active
Credentials
Entity Individual
Enumeration date 06/16/2025
Last updated 10/05/2025 - About 8 months ago
Sole proprietor 1 No
Identifiers
  • TN License # 39942
Hospital affiliation(s) Not Available
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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