MRS. JORDAN MARIE ELLIS (NPI# 1144636275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144636275 |
| Entity Type | Individual |
| Full Name | MRS. JORDAN MARIE ELLIS |
| Credential | FNP-C |
| Practice Address |
1642 Westgate Cir Ste 202 Brentwood TN 37027-8195 |
| Practice Telephone | 6159418550 |
| Practice Fax Number | 6159418507 |
| Mailing Telephone | 6159418550 |
| Mailing Fax Number | 6159418507 |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2018-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
18761 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891239901 | Jordan Ellis | Specialist/Technologist | 5814 S 105th St, Omaha, NE 68127-2909 | 2016-12-08 |
| 1972167161 | Jordan Ellis | Psychologist | 1100 Wilford Hall Loop, Bldg. 4554, 59 Mdw/gme, Jbsa Lackland, Jbsa Lackland, TX 78236 | 2019-04-24 |
| 1902398068 | Jordan Michael Ellis | Dentist | 1900 East Main St, Danville, IL 61832-6183 | 2018-06-05 |
| 1720534696 | Jordan E Ellis | Nurse Anesthetist, Certified Registered | 1836 South Ave, La Crosse, WI 54601-5429 | 2016-08-30 |
| Street Address |
1642 WESTGATE CIR STE 202 |
| City | BRENTWOOD |
| State | TN |
| Zip Code | 37027-8195 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124688676 | Caitlin Brianna O'leary | Nurse Practitioner | 1642 Westgate Cir Ste 202, Brentwood, TN 37027-8195 | 2019-06-17 |
| 1003475864 | Jaclyn R Cominotto | Nurse Practitioner | 1642 Westgate Cir Ste 202, Brentwood, TN 37027-8195 | 2019-06-06 |
| 1922505569 | Tika Johnson-hillard | Registered Nurse | 1642 Westgate Cir Ste 202, Brentwood, TN 37027-8195 | 2018-04-10 |
| 1649789165 | Daniel Lloyd Wilson | Nurse Practitioner | 1642 Westgate Cir Ste 202, Brentwood, TN 37027-8195 | 2017-09-27 |
| 1902294549 | Genesis Palliative Care, Pllc | Nurse Practitioner | 1642 Westgate Cir Ste 202, Brentwood, TN 37027-8195 | 2015-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154932762 | Amber Schalk | Behavioral Analyst | 333 Franklin Road Suite 135a-142, Brentwood, TN 37027 | 2020-08-17 |
| 1639795578 | Melissa Weitekamp | Counselor | 246 Wilson Pike Circle, Brentwood, TN 37027 | 2020-06-16 |
| 1528605979 | John David Murphy | Marriage & Family Therapist | 103 Continental Pl. Suite 120, Brentwood, TN 37027 | 2019-12-04 |
| 1548828130 | Hannah Dawn Harden | Counselor | 1604 Westgate Circle, Suite 220, Brentwood, TN 37027 | 2019-05-30 |
| 1790348142 | The Plastic Surgery Center Brentwood | Clinic/Center | 620 Church Street East, Brentwood, TN 37027 | 2019-04-20 |
| 1356803712 | Justin Kade Ellis | Dentist | 343 Franklin Rd Ste 103, Brentwood, TN 37027 | 2019-04-04 |
| 1073098190 | Harrison Roulaine Hall | Physical Therapist | 823 Woodburn Dr, Brentwood, TN 37027 | 2018-09-25 |
| 1275020273 | Merakey Allos | Home Health Aide | 5110 Maryland Way Ste 320, Brentwood, TN 37027 | 2018-04-16 |
| 1255836557 | Eleah Hyatt | Marriage & Family Therapist | 761 Old Hickory Blvd, Suite 101, Brentwood, TN 37027 | 2018-03-28 |
| 1386168607 | Brentwood Endodontics LLC | Dentist | 5111 Maryland Way Suite 209, Brentwood, TN 37027 | 2017-07-28 |
| Find all providers in zip 37027 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245845544 | Rebecca E Carden | Nurse Practitioner | 1205 Haber Dr, Brentwood, TN 37027-7142 | 2020-09-14 |
| 1538789169 | Mallory Simon | Nurse Practitioner | 5005 Maryland Way, Brentwood, TN 37027-7545 | 2020-04-23 |
| 1720619885 | Pente Ng | Nurse Practitioner | 1200 Central Blvd Ste D, Brentwood, CA 94513-2227 | 2020-01-28 |
| 1164074092 | Jennifer Marie Justus | Nurse Practitioner | 317 Seven Springs Way Ste 205, Brentwood, TN 37027-4991 | 2019-07-11 |
| 1295396125 | Nicollette Mitra | Nurse Practitioner | 2400 Balfour Rd Ste 302, Brentwood, CA 94513-4955 | 2019-06-21 |
| 1528535283 | Blake Erran Longstreth | Nurse Practitioner | 5400 Maryland Way Ste 100, Brentwood, TN 37027-1005 | 2018-10-30 |
| 1114471901 | Megan Elaine Faucher | Nurse Practitioner | 255 Wilson Circle Pike, Brentwood, TN 37027-5207 | 2016-08-09 |
| 1265807093 | Anne Adams | Nurse Practitioner | 9405 Atherton Ct, Brentwood, TN 37027-8700 | 2015-12-04 |
| 1508107376 | Pedforall | Nurse Practitioner | 5050 Thoroughbred Ln Ste C, Brentwood, TN 37027-4234 | 2013-03-04 |
| 1295072585 | Kathryn Mcbane | Nurse Practitioner | 1827 Bronwyn Ct, Brentwood, TN 37027-8160 | 2013-01-07 |
| Find all providers in BRENTWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.