Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. JORDAN ELIZABETH CLARK
Active Sole ProprietorMS. JORDAN ELIZABETH CLARK is a Specialist/Technologist, Surgical healthcare provider located in JOHNSON CITY, Tennessee. NPI 1720964364 is currently active in the NPPES registry. Verify at CMS.
Specialist/Technologist, Surgical · JOHNSON CITY, TN
Registration Details
- NPI Number
- 1720964364
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 11, 2025 (1.0322455939272 yrs)
- Last Updated
- Dec 12, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
4156 BRISTOL HWY STE 4JOHNSON CITY, TN, 376013088Browse TN providers · Browse ZIP 37601
- Phone
- 8595765997
- Primary Specialty
-
Specialist/Technologist, Surgical
246Z00000X
Other Specialist/Technologist, Surgical Providers in JOHNSON CITY, TN
| Name | Credential | NPI |
|---|---|---|
| TIFFANY LYNN RODRIGUEZ | RMA | 1053780817 |
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.