IndividualActive
Chantal Jordan
NPI 1629964846 · Pediatric Nurse Practitioner · Manchester, TN
Provider details
- NPI number
- 1629964846
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 39942 (TN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
804 Keylon St
Manchester, TN 37355-2414
Phone: (931) 455-2674
Fax: (931) 455-8983
Approximate (ZIP-level) locationGet directions
Mailing address
800 4th Ave S Apt 715
Nashville, TN 37210-2376
Registry dates
- Enumerated
- 2025-06-16
- Last updated
- 2025-10-05
- Certified
- 2025-10-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.