JORDAN ROLLA RENARD
NPI 1750221834
Student in an Organized Health Care Education/Training Program in Memphis, TN
About Jordan Rolla Renard NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JORDAN ROLLA RENARD (NPI 1750221834) is an individual student in an organized health care education/training program in Memphis, Tennessee, licensed in Tennessee (13222) and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jordan Rolla Renard is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MEMPHIS, TN 38103
MEMPHIS, TN 38103
MEMPHIS, TN 38103
MEMPHIS, TN 38103
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 Jordan Renard's NPI number?
The NPI number for Jordan Renard is 1750221834. It was assigned to this individual provider in the NPPES registry on March 30, 2026.
Where is Jordan Renard located?
Jordan Renard practices at 875 Union Ave, Memphis, TN 38103. The listed phone number is (901) 448-6240.
What is Jordan Renard's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Jordan Renard enrolled in Medicare?
Yes. Jordan Renard is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jordan Renard was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jordan Rolla Renard · NPI 1750221834
Student in an Organized Health Care Education/Training Program provider in Memphis, Tennessee. Individual provider, active in the CMS NPPES registry since March 30, 2026.
## Identity
- **NPI:** 1750221834 (Entity type: Individual)
- **Enumerated:** March 30, 2026
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **State license:** 13222 (Tennessee)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 875 UNION AVE, Memphis, TN 38103-3513
- **Phone:** (901) 448-6240
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** June 10, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1750221834) · Data from the CMS NPPES public registry.