MR. JORDAN ANDREW STOVALL PMHNP-BC NPI 1619516069

NPI Information

NPI: 1619516069
Provider Name: MR. JORDAN ANDREW STOVALL, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
1015 N HIGHLAND AVE
MURFREESBORO, TN
ZIP 37130
Phone: (615) 396-6472
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MR. Jordan Andrew Stovall, PMHNP-BC is a psychiatric/mental health nurse practitioner in Murfreesboro, TN with 5 years of experience. MR. Jordan Andrew Stovall, PMHNP-BC NPI is 1619516069. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1015 N HIGHLAND AVE
MURFREESBORO, TN
ZIP 37130-450
Phone: (615) 396-6472
Fax: (615) 396-6485

The NPI 1619516069 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 1/2/2020 and was last updated on 5/17/2023.

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	163WM0705X	Registered Nurse	Medical-Surgical	219467	TENNESSEE	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	27045	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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