Provider Demographics
NPI:1417562802
Name:MCLENDON, JORDAN FIELDING (OTR/L, CTRS)
Entity Type:Individual
Prefix:
First Name:JORDAN
Middle Name:FIELDING
Last Name:MCLENDON
Suffix:
Gender:F
Credentials:OTR/L, CTRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2084 ORANGERY DR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-1956
Mailing Address - Country:US
Mailing Address - Phone:404-604-5341
Mailing Address - Fax:
Practice Address - Street 1:2084 ORANGERY DR
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064-1956
Practice Address - Country:US
Practice Address - Phone:404-604-5341
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-11
Last Update Date:2022-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOT007841225X00000X
GA007841225XP0200X
TN6720225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics