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NPI Code Detail

MEDICARE: JORDANNA BROOKE TWILLEY PMHNP

MEDICARE:   JORDANNA BROOKE TWILLEY  PMHNP
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner40297TN

General Provider Information

NPI Number : 1346000502
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORDANNA BROOKE TWILLEY PMHNP
Provider Business Mailing Address
First Line : 1453 HOPE WAY
Second Line :
City : MURFREESBORO
State : TN
Zip : 37129-3140
Country : US
Telephone Number : 615-893-9390
Fax Number :
Provider Business Practice Location Address
First Line : 1453 HOPE WAY
Second Line :
City : MURFREESBORO
State : TN
Zip : 37129-3140
Country : US
Telephone Number : 615-893-9390
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2024
Last Update Date : 01/09/2026

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