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

Jordan Brooke Childress, FNP

Individual provider Family Nurse Practitioner · NPI 1679153720

Jordan Brooke Childress, FNP is a Nurse Practitioner in Kingsport, Tennessee. Qualified in 2020, 6 years ago. Practices with Holston Medical Group PC, a 242-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee and Virginia.

Years since qualifying
6
Licensed in
TN, VA
In the registry since
2021
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

105 W Stone Dr Ste 1F
Kingsport, TN 37660-3365
Phone: (423) 230-2420
Fax: (423) 230-2422
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 301 Med Tech Pkwy Ste 240, Johnson City, TN 37604-2641 — (423) 794-5520

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 29287 (TN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 0024173715 (VA)

Record details

NPI number1679153720
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedApril 13, 2021
Last updated in NPPESApril 4, 2025
Certification dateApril 4, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Holston Medical Group Pc — 242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Kingsport