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

Jordan Dabney Womack

Individual provider Peer Specialist · NPI 1558110486

Jordan Dabney Womack is a Peer Specialist in Maryville, Tennessee. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

2739 E Broadway Ave
Maryville, TN 37804-2556
Phone: (601) 862-1126
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1558110486
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 14, 2024
Last updated in NPPESMay 15, 2024
Certification dateMay 15, 2024

Other providers in Maryville