Provider Demographics
NPI:1891545505
Name:DUNCAN, JORDAN HORNSBY
Entity Type:Individual
Prefix:
First Name:JORDAN
Middle Name:HORNSBY
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JORDAN
Other - Middle Name:ALEXIS
Other - Last Name:HORNSBY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1111 MORROW AVE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37204-3907
Mailing Address - Country:US
Mailing Address - Phone:901-786-2634
Mailing Address - Fax:
Practice Address - Street 1:410 42ND AVE N STE 200
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37209-3629
Practice Address - Country:US
Practice Address - Phone:615-340-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5889363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical