Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JORDAN RUSSELL CARVER, COTA/L
Active Sole ProprietorMR. JORDAN RUSSELL CARVER, COTA/L is a Skilled Nursing Facility healthcare provider located in LAFAYETTE, Tennessee. NPI 1912278391 is currently active in the NPPES registry. Verify at CMS.
Skilled Nursing Facility · LAFAYETTE, TN
Registration Details
- NPI Number
- 1912278391
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 18, 2012 (14.380642045764 yrs)
- Last Updated
- Jan 18, 2012
- License
-
1891 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
203 MAI RIDGE LANELAFAYETTE, TN, 370834477Browse TN providers · Browse ZIP 37083
- Phone
- 6156338159
- Primary Specialty
-
Skilled Nursing Facility
314000000X
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.