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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JORDAN BROOKE CHILDRESS, FNP

Active Sole Proprietor

JORDAN BROOKE CHILDRESS, FNP is a Family Nurse Practitioner healthcare provider located in KINGSPORT, Tennessee. NPI 1679153720 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · KINGSPORT, TN

Registration Details

NPI Number
1679153720
Provider Type
Individual
Gender
Female
NPI Issued
Apr 13, 2021 (5.3242321877051 yrs)
Last Updated
Apr 4, 2025
Licenses
0024173715 (VA)
29287 (TN)
Sole Proprietor
Yes

Practice Information

Address
105 W STONE DR STE 1F
KINGSPORT, TN, 376603365
Browse TN providers · Browse ZIP 37660
Phone
4232302420
Fax
4232302422
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Providers in KINGSPORT, TN

Name Credential NPI
MS. JANET CRADIC F.N.P. 1497758551
MR. CHRISTOPHER MORELOCK FNP 1245233956
MYRA WATTS FNP 1417959727
MITZI DANIELA MUSICK ANP 1780686865
MS. LINDA QUALLS FNP 1477557015
MRS. CATHERINE M RAFF FNP 1578567004
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.