Healthcare Provider Details

I. General information

NPI: 1144159500
Provider Name (Legal Business Name): JORDAN ORDUS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DANIELLE ORDUS

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

635 LYONS FARM PKWY APT F6202
MURFREESBORO TN
37127-5864
US

IV. Provider business mailing address

521 STONECREST PKWY STE 102
SMYRNA TN
37167-6897
US

V. Phone/Fax

Practice location:
  • Phone: 903-380-9812
  • Fax:
Mailing address:
  • Phone: 615-247-6831
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: