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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

EBONI JORDAN APRN, FNP-C
NPI 1174443840
Nurse Practitioner - Family in Lebanon, TN

Active since July 21, 2026
808 GADWALL DR, LEBANON, TN 37090(615) 766-7075 Get Directions Write a Review

NPPES record added: July 21, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Eboni Jordan Aprn, Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EBONI JORDAN APRN, FNP-C (NPI 1174443840) is an individual family provider in Lebanon, Tennessee, licensed in Tennessee (42518) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1174443840
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameEBONI JORDANCredential: APRN, FNP-C
Location Address808 GADWALL DRLebanon, TN 37090-2020
Mailing Address808 Gadwall DrLebanon, TN 37090-2020 · (615) 766-7075
Phone(615) 766-7075
Sole ProprietorNo
Enumeration DateJuly 21, 2026
NPPES CertifiedJuly 21, 2026
✔ NPI 1174443840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TN · 42518
808 GADWALL DR, Lebanon, TN 37090
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eboni Jordan's NPI number?

The NPI number for Eboni Jordan is 1174443840. It was assigned to this individual provider in the NPPES registry on July 21, 2026.

Where is Eboni Jordan located?

Eboni Jordan practices at 808 Gadwall Dr, Lebanon, TN 37090. The listed phone number is (615) 766-7075.

What is Eboni Jordan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Eboni Jordan was last updated on July 21, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.