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Jordan Clark
NPI 1720964364 · on the registry since 2025 · sole proprietor
Practice
- Address
- 4156 Bristol Hwy Ste 4
Johnson City, TN 37601 - Phone
- (859) 576-5997
Registry record
- Primary taxonomy
- 246Z00000X
246Z00000X
- Sex
- Female
- Record last updated
- 2025-12-12
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 Tennessee