MEDICARE: JORDAN ORDUS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor		TN

General Provider Information

NPI Number	:	1144159500
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JORDAN ORDUS

Provider Business Mailing Address
First Line	:	521 STONECREST PKWY STE 102
Second Line	:
City	:	SMYRNA
State	:	TN
Zip	:	37167-6897
Country	:	US
Telephone Number	:	615-247-6831
Fax Number	:

Provider Business Practice Location Address
First Line	:	635 LYONS FARM PKWY APT F6202
Second Line	:
City	:	MURFREESBORO
State	:	TN
Zip	:	37127-5864
Country	:	US
Telephone Number	:	903-380-9812
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/13/2026
Last Update Date	:	05/13/2026

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Directions to “ JORDAN ORDUS ” Practice Location

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