JORDAN BRIANNA BOLLINGER PMHNP-BC NPI 1063030369

NPI Information

NPI: 1063030369
Provider Name: JORDAN BRIANNA BOLLINGER, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
550 FORT SUMMIT WAY
KNOXVILLE, TN
ZIP 37915
Phone: (865) 679-0764
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Jordan Brianna Bollinger, PMHNP-BC is a psychiatric/mental health nurse practitioner in Knoxville, TN with 3 years of experience. Jordan Brianna Bollinger, PMHNP-BC NPI is 1063030369. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: LINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Graduation Year:2021

The provider's business location address is:

550 FORT SUMMIT WAY
KNOXVILLE, TN
ZIP 37915-146
Phone: (865) 679-0764

The NPI 1063030369 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/13/2020 and was last updated on 3/25/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		227419	TENNESSEE	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	30045	TENNESSEE	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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