Susan Starbuck Jordan, RNC, FNP
Nurse Practitioner, Family in Hixson, TN. Individual provider (NPI-1).
NPI number1427047331
StatusActive
Last updated in NPPESJun 7, 2023
Details
- NPI
- 1427047331
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Susan Starbuck Jordan
- Credential
- RNC, FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 14, 2005
- Certification date
- Jun 7, 2023
- Last updated
- Jun 7, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | APN0000006289 | TN | Yes |
Practice location
1039 Executive Dr Ste 101Hixson, TN 37343-7900
Phone 423-874-0125 · Fax 423-874-0154
Mailing address
6530 Lakeshore PkwyChattanooga, TN 37416-1207
Phone 423-316-3085
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 45 Family Nurse Practitioner providers in Hixson · All 873 providers in Hixson
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