Provider Demographics
NPI:1356780225
Name:JORDAN, BRETT HARRISON (DC)
Entity type:Individual
Prefix:DR
First Name:BRETT
Middle Name:HARRISON
Last Name:JORDAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:BRETT
Other - Middle Name:
Other - Last Name:JORDAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:3326 ASPEN GROVE DR
Mailing Address - Street 2:SUITE 500
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-2837
Mailing Address - Country:US
Mailing Address - Phone:615-771-0722
Mailing Address - Fax:
Practice Address - Street 1:3326 ASPEN GROVE DR
Practice Address - Street 2:SUITE 500
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-2837
Practice Address - Country:US
Practice Address - Phone:615-771-0722
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-24
Last Update Date:2013-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNTN2692111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor