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1982533006 NPI number — JORDAN AGEE M.S., CF-SLP

NPI Number: 1982533006
Health Care Provider/Practitioner: JORDAN AGEE M.S., CF-SLP

Information about “1982533006” NPI (JORDAN AGEE M.S., CF-SLP) exists in 1982533006 in HTML format HTML  |  1982533006 in plain Text format TXT  |  1982533006 in PDF (Portable Document Format) PDF  |  1982533006 in an XML format XML  formats.

NPI Number : 1982533006 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1982533006",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "AGEE",
    "FirstName": "JORDAN",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.S., CF-SLP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BRIEN",
    "OtherFirstName": "JORDAN",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1241 VOLUNTEER PKWY STE 400",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BRISTOL",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "37620-4635",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "423-573-7626",
    "MailingAddressFaxNumber": "423-573-7627",
    "FirstLinePracticeLocationAddress": "1241 VOLUNTEER PKWY STE 400",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BRISTOL",
    "PracticeLocationAddressStateName": "TN",
    "PracticeLocationAddressPostalCode": "37620-4635",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "423-573-7626",
    "PracticeLocationAddressFaxNumber": "423-573-7627",
    "EnumerationDate": "05/15/2026",
    "LastUpdateDate": "05/15/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "235Z00000X",
        "TaxonomyName": "Speech-Language Pathologist",
        "LicenseNumber": "9529",
        "LicenseNumberStateCode": "TN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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