Jordan, Susan Starbuck

Jordan, Susan Starbuck is an individual health care provider with primary practice located at 1039 Executive Dr Ste 101 , Hixson TN 37343-7900. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Jordan, Susan Starbuck can be contacted via phone (423) 874-0125.

Contact Information

Primary practice address
1039 Executive Dr Ste 101 Hixson TN 37343-7900
Phone: (423) 874-0125
Fax: (423) 874-0154
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN0000006289 Tennessee

Profile Details

NPI number 1427047331
LBN Legal business name Jordan, Susan Starbuck
Credentials RNC, FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
Last updated Jun 7th, 2023 - about 3 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 1427047331 NPPES
Georgia MEDICAID 103I501689
Georgia MEDICAID Q008621

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