MRS. MARY ELISABETH JORDAN (NPI# 1629518626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629518626 |
| Entity Type | Individual |
| Full Name | MRS. MARY ELISABETH JORDAN |
| Other Name | BETH JORDAN |
| Credential | FNP-C |
| Practice Address |
4665 Main St Suite 2 Jasper TN 37347 |
| Practice Telephone | 4239420145 |
| Practice Fax Number | 4239420146 |
| Mailing Telephone | 4239420145 |
| Mailing Fax Number | 4239420146 |
| Enumeration Date | 2017-02-24 |
| Last Update Date | 2017-02-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
22310 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063712040 | Mary Elizabeth Jordan | Social Worker | 1551 Indian Hills Dr Ste 206, Sioux City, IA 51104-1857 | 2010-10-25 |
| 1912212457 | Mary E Jordan | Counselor | 14 Clara Dr Ste 3, Mystic, CT 06355-1973 | 2010-08-09 |
| 1417126350 | Mary A Jordan | Social Worker | 4 Pell Place, Pelham, NY 10803-1310 | 2008-02-25 |
| 1104002070 | Mary Ann Jordan | Registered Nurse | 24 Picket Ln, Centereach, NY 11720-2511 | 2008-01-10 |
| 1538284773 | Mary Elizabeth Jordan | Nurse Practitioner | 1717 Columbia Rd Nw, Washington, DC 20009-2803 | 2007-03-20 |
| 1508911132 | Mary C Jordan | Licensed Vocational Nurse | 7053 Milwood Ave, Canoga Park, CA 91303-2159 | 2007-01-24 |
| 1356410294 | Mary Catherine Jordan | Nurse Practitioner | 5455 Meridian Mark Rd., Ste. 400, Atlanta, GA 30342 | 2006-11-07 |
| 1275615437 | Mary Jan Jordan | Counselor | 536 Fireside Court, Suite D, Lawrence, KS 66049-2300 | 2006-10-19 |
| 1215017025 | Mary Louise Jordan | Licensed Practical Nurse | 1927 W Meinecke Ave, Milwaukee, WI 53206-2063 | 2006-10-16 |
| 1982617825 | Mary Katherine Jordan | Occupational Therapist | 1640 Marengo St Ste 500, Los Angeles, CA 90033-1061 | 2006-08-14 |
| Street Address |
4665 MAIN ST SUITE 2 |
| City | JASPER |
| State | TN |
| Zip Code | 37347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336569359 | Kevin Stevens | Emergency Medicine | 1000 Tn-28, Jasper, TN 37347 | 2014-04-17 |
| 1487801924 | Valley Imaging Partners, P.C. | Radiology | 1000 Hwy 28, Jasper, TN 37347 | 2008-08-27 |
| 1053494708 | Elizabeth Rodgers | Nurse Practitioner | 215 Hickman Road, Jasper, TN 37347 | 2006-10-23 |
| 1386726875 | Wal-mart Stores East, Lp | Technician/Technologist | 525 Kimball Crossing, Kimball, TN 37347 | 2006-10-20 |
| 1427033307 | Karim D Hasnani | Dentist | 507 Betsy Pack Dr Suite B, Jasper, TN 37347 | 2005-12-13 |
| 1932184017 | Craig John Cott | Psychiatry & Neurology | 215 Hickman Rd, Jasper, TN 37347 | 2005-12-12 |
| 1104817774 | Karin B Boeck | Family Medicine | 24 Mountain View Drive, Suite A, Kimball, TN 37347 | 2005-11-02 |
| 1508344227 | Faith Hannah Williams | Registered Nurse | 1000 Tn-28, Jasper, TN 37347 | 2018-08-03 |
| 1861752578 | Jana Marlow | Social Worker | 215 Hickman Rd, Jasper, TN 37347 | 2012-05-29 |
| 1407090004 | Hal Jamison Parker | Emergency Medicine | 1000 Highway 28, Jasper, TN 37347 | 2009-04-27 |
| Find all providers in zip 37347 | ||||
| Taxonomy Code | 364SF0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Family Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518344886 | Angela Sanders | Clinical Nurse Specialist | 2708 Highway 78 E, Jasper, AL 35501-3430 | 2015-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356898001 | Tasha Ligon | Clinical Nurse Specialist | 4016 Peaks Landing Way, Apt 103, Knoxville, TN 37918-7934 | 2016-09-09 |
| 1073909883 | Jeffrey Lynn Wilson | Clinical Nurse Specialist | 5516 Barons Pt, Ooltewah, TN 37363-8875 | 2015-04-08 |
| 1790180552 | Carol Campbell | Clinical Nurse Specialist | 3723 Stevens Ln, Nashville, TN 37218-1205 | 2014-10-22 |
| 1669744876 | Deborah Henderson Selak | Clinical Nurse Specialist | 1750 Frayser Blvd, Suite A, Memphis, TN 38127-6439 | 2012-02-02 |
| 1386954683 | My Np Family Health and Wellness Clinic | Clinical Nurse Specialist | 1061 S Rembert St, Memphis, TN 38104-5651 | 2010-10-20 |
| 1790976447 | Express Med, LLC | Clinical Nurse Specialist | 1276 1st Ave, Lawrenceburg, TN 38464-2762 | 2007-08-07 |
| 1548807647 | Chelsey Huff | Clinical Nurse Specialist | 6294 Highway 41a, Pleasant View, TN 37146-8175 | 2019-12-08 |
| 1013440106 | Integrated Health Concepts, LLC | Clinical Nurse Specialist | 28 Midway St, Bristol, TN 37620-1706 | 2017-04-06 |
| 1295273043 | Malones Group LLC | Clinical Nurse Specialist | 607 W Due West Ave, Suite 105, Madison, TN 37115-4431 | 2017-02-01 |
| 1326592809 | Brooke Torbett | Clinical Nurse Specialist | 4233 Highway 411, Madisonville, TN 37354-1571 | 2016-08-12 |
| Find all providers with the same taxonomy | ||||
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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.