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CHANTAL ELISE JORDAN
NPI 1629964846
Nurse Practitioner - Pediatrics in Manchester, TN

Active since June 16, 2025
804 KEYLON ST, MANCHESTER, TN 37355(931) 455-2674(931) 455-8983 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Chantal Elise Jordan NPPES

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

CHANTAL ELISE JORDAN (NPI 1629964846) is an individual pediatrics provider in Manchester, Tennessee, licensed in Tennessee (39942) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1629964846
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameCHANTAL ELISE JORDAN
Location Address804 KEYLON STManchester, TN 37355-2414
Mailing Address804 Keylon StManchester, TN 37355-2414 · (931) 455-2674
Phone(931) 455-2674
Fax(931) 455-8983
Sole ProprietorNo
Enumeration DateJune 16, 2025
Last NPPES UpdateJune 15, 2026
NPPES CertifiedJune 15, 2026
✔ NPI 1629964846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in TN · 39942
804 KEYLON ST, Manchester, TN 37355
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MEREDITH FETTERMAN FNP-C
Nurse Practitioner (Family)
804 KEYLON ST
MANCHESTER, TN 37355
Coffee County (931) 455-2674
DR. DAVID G. FLORENCE
Family Medicine
804 KEYLON ST
MANCHESTER, TN 37355
Coffee County (931) 728-5522
DR. DAVID G FLORENCE DO
Family Medicine
804 KEYLON ST
MANCHESTER, TN 37355
Coffee County (931) 728-5522

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 Chantal Jordan's NPI number?

The NPI number for Chantal Jordan is 1629964846. It was assigned to this individual provider in the NPPES registry on June 16, 2025.

Where is Chantal Jordan located?

Chantal Jordan practices at 804 Keylon St, Manchester, TN 37355. The listed phone number is (931) 455-2674.

What is Chantal Jordan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Chantal Jordan was last updated on June 15, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.