Provider Demographics
NPI:1467335141
Name:PEARSON, JORDAN NICOLE (DNP, ACNPC-AG)
Entity type:Individual
Prefix:
First Name:JORDAN
Middle Name:NICOLE
Last Name:PEARSON
Suffix:
Gender:F
Credentials:DNP, ACNPC-AG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:335 24TH AVE N STE 120
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1505
Mailing Address - Country:US
Mailing Address - Phone:615-342-0290
Mailing Address - Fax:615-342-0289
Practice Address - Street 1:335 24TH AVE N STE 120
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1505
Practice Address - Country:US
Practice Address - Phone:615-342-0290
Practice Address - Fax:615-342-0289
Is Sole Proprietor?:No
Enumeration Date:2025-07-29
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN39223363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner