JORDAN SMITH (NPI# 1528412301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528412301 |
| Entity Type | Individual |
| Full Name | JORDAN SMITH |
| Credential | FNP-BC |
| Practice Address |
1 Medical Park Blvd Ste 350w Bristol TN 37620-7471 |
| Mailing Address |
Po Box 4018 Johnson City TN 37602-4018 |
| Practice Telephone | 4232821480 |
| Practice Fax Number | 4239281353 |
| Mailing Telephone | 4232821480 |
| Mailing Fax Number | 4239281353 |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
20864 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q022496 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2421 N John B Dennis Hwy, Kingsport, TN 376604773 | 4232821480 | 4239281353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881212751 | Jordan C Smith | Pharmacist | 105 W 8th Ave # 350e, Spokane, WA 99204-2302 | 2020-07-08 |
| 1841816105 | Jordan Smith | Specialist/Technologist, Other | 7101 Bryant Irvin Rd Unit 34506, Fort Worth, TX 76162-5009 | 2020-06-23 |
| 1538709704 | Jordan Charles Smith | Massage Therapist | 775 Menroe St., Eugene, OR 97402 | 2020-01-15 |
| 1447815816 | Jordan Nichole Smith | Student in an Organized Health Care Education/Training Program | 4061 Idewild Loop # D403, Coeur D Alene, ID 83814-7091 | 2019-05-01 |
| 1447734579 | Jordan Smith | Hearing Instrument Specialist | 843 W Summit Ave, Muskegon, MI 49441-4047 | 2018-09-25 |
| 1477055366 | Jordan A Smith | Chiropractor | 7604 Ne 5th Ave Ste 109, Vancouver, WA 98665-8200 | 2018-03-06 |
| 1235656919 | Jordan Smith | Licensed Practical Nurse | 3957 Dean Rd, Marion, NY 14505 | 2017-08-24 |
| 1407171606 | Jordan D Smith | Pharmacist | 4 Long Cove Ct, Greensboro, NC 27407-5843 | 2010-03-30 |
| 1225292139 | Jordan D Smith | Optometrist | 1205 Old Highway 127 S, Jamestown, TN 38556-5609 | 2008-07-10 |
| 1013514553 | Jordan Claire Smith | Nurse Practitioner | 2550 Flowood Dr Ste 300, Flowood, MS 39232-9306 | 2020-10-07 |
| Street Address |
1 MEDICAL PARK BLVD STE 350W |
| City | BRISTOL |
| State | TN |
| Zip Code | 37620-7471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528274859 | Holly Amber Berndt | Internal Medicine | 1 Medical Park Blvd Ste 350w, Bristol, TN 37620-7471 | 2007-05-15 |
| 1285110759 | Jamie Michelle White | Nurse Practitioner | 1 Medical Park Blvd Ste 350w, Bristol, TN 37620-7471 | 2018-07-17 |
| 1134666191 | Theresa Ann Groomes | Nurse Practitioner | 1 Medical Park Blvd Ste 350w, Bristol, TN 37620-7471 | 2017-01-27 |
| 1699930859 | Ashley Lauren Austin | Family Medicine | 1 Medical Park Blvd Ste 350w, Bristol, TN 37620-7471 | 2008-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376180216 | Firstep, LLC | Psychiatry & Neurology | 3183 W. State St., Suite 1201, Bristol, TN 37620 | 2019-12-10 |
| 1578047726 | Amanda Harville Mcgrady | Psychologist | 105 Walnut Circle, Bristol, TN 37620 | 2018-09-23 |
| 1467932533 | Teresa Mooney | Nurse Practitioner | 324 Leslie Ct, Bristol, TN 37620 | 2018-08-17 |
| 1992285308 | Jeremy Aurbrey Blanzy | Nurse Practitioner | 1 Medical Park Boulevard, Suite 400e, Bristol, TN 37620 | 2018-08-15 |
| 1255841805 | Amanda L Pillion | Audiologist | 225 Midway Medical Park, Bristol, VA 37620 | 2017-10-10 |
| 1841717717 | Joel Blevins | Driver | 301 Webb Ct, Bristol, TN 37620 | 2017-08-23 |
| 1831579796 | Dr. Marie Crawford, Ph.d., Pllc | Psychologist | 739 Bluff City Highway, Suite 5, Bristol, TN 37620 | 2015-06-05 |
| 1508297169 | Cassandra Marie Conry | Chiropractor | 800 Hill St., Bristol, TN 37620 | 2013-12-09 |
| 1780025874 | Laura Leann Lawson-renfro | Nurse Practitioner | 260 Midway St, Bristol, TN 37620 | 2013-07-17 |
| 1760822365 | Ricky Bhimani | Internal Medicine | 208 Medical Park Boulevard, Bristol, TN 37620 | 2013-06-27 |
| Find all providers in zip 37620 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154921120 | Melissa Ann Mcnutt | Nurse Practitioner | 941 Windsor Ave, Bristol, TN 37620-2155 | 2020-10-29 |
| 1124633581 | Kristen L Viars | Nurse Practitioner | 501 Garden Ln, Bristol, VA 24201-1512 | 2020-09-12 |
| 1780295071 | Leslie Berryman | Nurse Practitioner | 901 Hill St, Bristol, TN 37620-2141 | 2020-08-11 |
| 1972134021 | Shonna Morenings | Nurse Practitioner | 200 Richmond Heights Rd, Bristol, TN 37620-6612 | 2020-01-28 |
| 1891347936 | Brittney O'hara | Nurse Practitioner | 350 Steeles Rd Ste 2, Bristol, TN 37620-9532 | 2019-07-09 |
| 1518524628 | Constance K Siekierski | Nurse Practitioner | 17 Platt St, Bristol, RI 02809-4317 | 2019-05-23 |
| 1477014827 | Mary Beth Foran | Nurse Practitioner | 1135 Columbia Rd, Bristol, TN 37620-4421 | 2019-03-28 |
| 1932663580 | Dana Lynn Mcdonnell | Nurse Practitioner | 415 Hart St, Bristol, CT 06010-2393 | 2019-01-29 |
| 1215405352 | Linda Carol Holmes | Nurse Practitioner | 1 Monarch Dr, Bristol, VA 24201-3138 | 2018-11-07 |
| 1922521608 | Connie A Bronson | Nurse Practitioner | 55020 Colonial Ridge Dr, Bristol, IN 46507-8901 | 2017-07-25 |
| Find all providers in BRISTOL | ||||
Please comment or provide details below to improve the information on JORDAN SMITH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.