Jordan Elizabeth McDonough
Student in an Organized Health Care Education/Training Program in Chattanooga, TN. Individual provider (NPI-1).
NPI number1962360412
StatusActive
Last updated in NPPESJan 13, 2026
Details
- NPI
- 1962360412
- Entity type
- Individual (NPI-1)
- Name
- Jordan Elizabeth McDonough
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 13, 2026
- Certification date
- Jan 13, 2026
- Last updated
- Jan 13, 2026
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 |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
518 Oak StChattanooga, TN 37403-1905
Phone 423-425-4644
Mailing address
1364 District Ln Apt 252Chattanooga, TN 37406-1918
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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