Individual provider · Type 1 NPI

Jordan Brooke Childress, FNP

Family Nurse Practitioner · Kingsport, TN

NPI number 1679153720 Active

Practice location

105 W Stone Dr Ste 1F
Kingsport, TN 37660-3365

Fax (423) 230-2422

Mailing address

PO Box 9
Kingsport, TN 37662-0009

Other practice locations

  • 301 Med Tech Pkwy Ste 240, Johnson City, TN 37604-2641 · (423) 794-5520

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X0024173715 (VA)
Family Nurse Practitioner Primary 363LF0000X29287 (TN)

Family Nurse Practitioner: Definition to come...

9 other providers at this address

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About NPI 1679153720

Jordan Brooke Childress, FNP's National Provider Identifier is 1679153720, issued on Apr 13, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Kingsport, TN. The record was last updated on Apr 4, 2025.