| Mrs Jordan Marie Ellis, FNP-C | |
|
1642 Westgate Cir Ste 202, Brentwood, TN 37027-8195 | |
| (615) 941-8550 | |
| (615) 941-8507 |
| Full Name | Mrs Jordan Marie Ellis |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1642 Westgate Cir Ste 202, Brentwood, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144636275 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 18761 (Tennessee) | Primary |
| Entity Name | Advanced Diagnostic Imaging Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093741464 PECOS PAC ID: 7315848140 Enrollment ID: O20040115000677 |
| Entity Name | Curana Health Of Tennessee Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750761060 PECOS PAC ID: 7416261482 Enrollment ID: O20150804005400 |
| Entity Name | Tennessee Health Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326603911 PECOS PAC ID: 0840625984 Enrollment ID: O20200116003126 |
| Entity Name | Ch Mssp Services Tn Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003575838 PECOS PAC ID: 0042603656 Enrollment ID: O20220203000451 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jordan Marie Ellis, FNP-C 1642 Westgate Cir Ste 202, Brentwood, TN 37027-8195 Ph: (615) 941-8550 | Mrs Jordan Marie Ellis, FNP-C 1642 Westgate Cir Ste 202, Brentwood, TN 37027-8195 Ph: (615) 941-8550 |
Ms. Rose B Vick, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5300 Maryland Way, Suite 103, Brentwood, TN 37027 Phone: 615-224-9800 Fax: 615-224-9840 | |
Jaclyn R Miscovich, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1642 Westgate Cir Ste 202, Brentwood, TN 37027 Phone: 615-941-8550 | |
Ms. Lakesha Monique Goodwin, AGPCNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5511 Virginia Way, Ste 300, Brentwood, TN 37027 Phone: 615-994-1000 Fax: 615-994-0100 | |
Claudia Cortez, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 900 Heritage Way, Brentwood, TN 37027 Phone: 615-564-4953 | |
Sufeia Yosuf Durani, AGACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8339 Rossi Rd, Brentwood, TN 37027 Phone: 615-887-0982 | |
Carol Lehman, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8 Cadillac Dr, Suite 250, Brentwood, TN 37027 Phone: 615-425-4287 | |
Mrs. Melody Laine Draper, RN, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1208 Choctaw Trl, Brentwood, TN 37027 Phone: 615-645-3031 Fax: 615-678-5676 |