Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 47023 | TN |
Y | 2084N0402X | Child Neurologist | 47023 | TN |
N | 2084N0402X | Child Neurologist | D62340 | MD |
NPI | 1285720938 |
---|---|
Provider Name | Lori Chaffin Jordan |
First Address | Nashville, TN 37232-0005 |
Second Address | Nashville, TN 37232-0005 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2006 |
Last Update Date | 15/10/2020 |