Search › Georgia › 363LF0000X
Tina Jordan, FNP
NPI 1255703088 · on the registry since 2015
Practice
- Address
- 4631 Bill Gardner Pkwy
Locust Grove, GA 30248 - Phone
- (770) 630-6281
- Fax
- (678) 272-0001
- Organisation at this address
- Carenova Inc
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 1101 Wilson Blvd Fl 6, Arlington, VA
- 4631 Bill Gardner Pkwy, Locust Grove, GA
- 222 2nd Ave S Fl 17, Nashville, TN
- 1 Lawson Ln Ste 200d, Burlington, VT
- 421 Fayetteville St Ste 1100, Raleigh, NC
- 173 Saint Patricks Dr Ste 104, Waldorf, MD
- 999 18th St Ste 3000, Denver, CO
- 699 Walnut St Ste 4, Des Moines, IA
- 6975 S Union Park Ctr Ste 600, Cottonwood Heights, UT
- 400 Renaissance Ctr Ste 2600, Detroit, MI
- 900 Old Roswell Lakes Pkwy Ste 310, Roswell, GA
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-07-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia