Jordan, Mary Elizabeth

Jordan, Mary Elizabeth is an individual health care provider with primary practice located at 1515 Saint Mary St , Knoxville TN 37917-4503. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Jordan, Mary Elizabeth can be contacted via phone (800) 255-9711.

Contact Information

Primary practice address
1515 Saint Mary St Knoxville TN 37917-4503
Phone: (800) 255-9711
Fax: (727) 866-4485
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 326704 Louisiana
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 5577 Tennessee

Profile Details

NPI number 1376003129
LBN Legal business name Jordan, Mary Elizabeth
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2019
Last updated Dec 10th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376003129 NPPES
Louisiana Other 326704 LA LICENSE

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