Individual provider · Type 1 NPI

Tiffany Rae Jordan, NP

Family Nurse Practitioner · Kennesaw, GA

NPI number 1316693047 Active

Practice location

270 Chastain Rd NW
Kennesaw, GA 30144-3012

Fax (770) 424-5662

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XRN240185 (GA)

Family Nurse Practitioner: Definition to come...

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About NPI 1316693047

Tiffany Rae Jordan, NP's National Provider Identifier is 1316693047, issued on Feb 22, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Kennesaw, GA. The record was last updated on Feb 22, 2022.