Kilgore, Jordan Ryan

Kilgore, Jordan Ryan is an individual health care provider with primary practice located at 870 Boston Town Rd , Dunlap TN 37327-4536. He recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is his primary health care specialty. Kilgore, Jordan Ryan can be contacted via phone (423) 243-4812.

Contact Information

Primary practice address
870 Boston Town Rd Dunlap TN 37327-4536
Phone: (423) 243-4812
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 231456 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 34441 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 34441 Tennessee

Profile Details

NPI number 1962185686
LBN Legal business name Kilgore, Jordan Ryan
Credentials RN, AGACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2023
Last updated Feb 15th, 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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