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NPI Code Detail

MEDICARE: D'JUANIELE JORDAN

MEDICARE: D'JUANIELE JORDAN
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
1235Z00000XSpeech-Language Pathologist5447TN

General Provider Information

NPI Number : 1104778661
Entity Type Code : Individual
Provider Name (Legal Business Name) : D'JUANIELE JORDAN
Provider Business Mailing Address
First Line : 44 VANTAGE WAY STE 330
Second Line :
City : NASHVILLE
State : TN
Zip : 37228-1550
Country : US
Telephone Number : 615-649-5432
Fax Number :
Provider Business Practice Location Address
First Line : 115 ACADEMY ST
Second Line :
City : DICKSON
State : TN
Zip : 37055-2013
Country : US
Telephone Number : 615-446-2085
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2026
Last Update Date : 02/09/2026

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Directions to “ D'JUANIELE JORDAN ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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