MR. JORDAN STOVALL (NPI# 1619516069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619516069 |
Entity Type | Individual |
Full Name | MR. JORDAN STOVALL |
Credential | PMHNP-BC |
Practice Address |
301 S Perimeter Park Dr Ste 210 Nashville TN 37211-4128 |
Practice Telephone | 6157263603 |
Practice Fax Number | 6157263632 |
Mailing Telephone | 6157263603 |
Mailing Fax Number | 6157263632 |
Enumeration Date | 2020-01-02 |
Last Update Date | 2020-02-24 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
219467 | TN | Nursing Service Providers |
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
27045 | TN | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
145 Thompson Ln, Nashville, TN 372112411 | 6157810013 | |
1407 Union Ave Ste 100, Memphis, TN 381043665 | 9018004645 | |
2001 Mallory Ln Ste 300, Franklin, TN 370678236 | 6152241590 |
Street Address |
301 S PERIMETER PARK DR STE 210 |
City | NASHVILLE |
State | TN |
Zip Code | 37211-4128 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669789459 | Shady Hernandez | Counselor | 301 S Perimeter Park Dr Ste 210, Nashville, TN 37211-4128 | 2010-09-01 |
1134785751 | Omni Visions, Inc | Community/Behavioral Health | 301 S Perimeter Park Dr Ste 210, Nashville, TN 37211-4128 | 2019-05-20 |
1740791896 | Kelly Lynnette Harris | Counselor | 301 S Perimeter Park Dr Ste 210, Nashville, TN 37211-4128 | 2017-10-17 |
1588109334 | Tiffany Erwin | Counselor | 301 S Perimeter Park Dr Ste 210, Nashville, TN 37211-4128 | 2017-01-04 |
1285182139 | Yesia Pitner | Case Manager/Care Coordinator | 301 S Perimeter Park Dr Ste 210, Nashville, TN 37211-4128 | 2016-09-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639778566 | Results-ast Jv, LLC | Physical Therapist | 4909 Nolensville Road, Nashville, TN 37211 | 2020-10-21 |
1467079111 | Jennifer Rose Shin | Pharmacist | 15588 Old Hickory Blvd, Nashville, TN 37211 | 2020-06-29 |
1114544046 | Empoweru Therapy, LLC | Physical Therapist | 6632 Sugar Valley Dr, Nashville, TN 37211 | 2020-06-26 |
1023654415 | Kharis Care LLC | Registered Nurse | 4013 Travis Drive Suite 210, Nashville, TN 37211 | 2019-11-21 |
1568932143 | Irena Tatom | Counselor | 404 Bna Dr. Suite 110, Nashville, TN 37211 | 2018-11-27 |
1922590009 | Brentwood Springs Detox | Substance Abuse Rehabilitation Facility | 5935 Edmondson Pike, Nashville, TN 37211 | 2018-06-04 |
1912406901 | Peace By Piece Aba Therapy & Behavioral Services | Behavioral Analyst | 410 Central Pike, Suite 306, Nashville, TN 37211 | 2018-02-06 |
1437661980 | Sara Sanfilippo Meehan | Nurse Practitioner | 397 Wallace Rd Ste 407, Nashville, TN 37211 | 2017-10-24 |
1215455571 | Royal Care Transportation | Non-emergency Medical Transport (VAN) | 600 Whispering Hills Dr, Apt# L12, Nashville, TN 37211 | 2017-09-06 |
1659800936 | Ashley Wheeler | Behavior Technician | 2404 Rollett Ct., Nashville, TN 37211 | 2017-06-08 |
Find all providers in zip 37211 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003479718 | Emily Barrington Burton | Nurse Practitioner | 3909 Whitland Ave Apt 101, Nashville, TN 37205-1938 | 2019-04-18 |
1326507633 | Cynthia Strother Terry | Nurse Practitioner | 924a Spain Ave, Nashville, TN 37216-3625 | 2019-03-16 |
1588148944 | Elizabeth C Lohr | Nurse Practitioner | 85 White Bridge Pike Ste 302, Nashville, TN 37205-1565 | 2018-09-21 |
1407215494 | Rachael Tanner-smith | Nurse Practitioner | 2323 21st Ave S Ste 300, Nashville, TN 37212-4930 | 2016-02-18 |
1033514773 | James Kelly Speck | Nurse Practitioner | 2831 Hillside Dr, Apt H-5, Nashville, TN 37212-4029 | 2014-10-23 |
1992145577 | Leslie Walls Binford | Nurse Practitioner | 2021 21st Ave S Ste 410, Nashville, TN 37212 | 2013-06-27 |
1336475581 | Wellness Solutions of Tennessee LLC | Nurse Practitioner | 2323 21st Ave S Ste 306, Nashville, TN 37212-4930 | 2009-10-22 |
1386760635 | Pamela Anne Nelson | Nurse Practitioner | 330 23rd Ave N Ste 140, Nashville, TN 37203-1536 | 2007-03-21 |
1023147766 | Joan Cornelia Mccuen | Nurse Practitioner | 2200 21st Ave S Ste 305, Nashville, TN 37212-4929 | 2007-03-05 |
1568597425 | Brandee J. Madden | Nurse Practitioner | 402 22nd Avenue N., Nashville, TN 37203 | 2007-02-22 |
Find all providers in NASHVILLE |
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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.