Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chantal Elise Jordan

Individual provider Pediatric Nurse Practitioner · NPI 1629964846

Chantal Elise Jordan is a Pediatric Nurse Practitioner in Manchester, Tennessee. Licensed in Tennessee. Registered with an NPI since 2025.

Licensed in
TN
In the registry since
2025

Practice location Address checks out

804 Keylon St
Manchester, TN 37355-2414
Phone: (931) 455-2674
Fax: (931) 455-8983
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 39942 (TN)

Record details

NPI number1629964846
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 16, 2025
Last updated in NPPESJune 15, 2026
Certification dateJune 15, 2026