Individual provider · Type 1 NPI
Jordan Scott Nickels
Family Nurse Practitioner · Rogersville, TN
NPI number
1922929504
Active
Practice location
300 Park Blvd
Rogersville, TN 37857-2912
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024198030 (VA) |
| Family Nurse Practitioner Primary | 363LF0000X | 42437 (TN) |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1922929504
Jordan Scott Nickels's National Provider Identifier is 1922929504, issued on Jul 21, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Rogersville, TN. The record was last updated on Jul 21, 2026.