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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1235716416

Dr. Jordan Daryl Raine, MD is a Student in an Organized Health Care Education/Training Program in Chattanooga, Tennessee. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

979 E 3rd St Ste B-401
Chattanooga, TN 37403-2136
Phone: (423) 778-7695
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1235716416
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 25, 2021
Last updated in NPPESMarch 25, 2021
Certification dateMarch 25, 2021

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