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

Individual provider Family Nurse Practitioner · NPI 1083202725

Jordan Frazier Shelburne, FNP is a Nurse Practitioner in Johnson City, Tennessee. Qualified in 2020, 6 years ago. Practices with Dominion Health and Fitness, Inc, a 73-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
6
Licensed in
TN
In the registry since
2021
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

2410 Susannah St
Johnson City, TN 37601-1748
Phone: (423) 282-9011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 340 Steeles Rd, Bristol, TN 37620-9532 — (423) 282-9011
  • 875 Larry Neil Way, Kingsport, TN 37660-6368 — (423) 282-9011
  • 4213 Anchor Pt, Kingsport, TN 37664-2986 — (276) 337-0478

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 28750 (TN)

Record details

NPI number1083202725
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorYes
NPI enumeratedJanuary 7, 2021
Last updated in NPPESNovember 3, 2021
Certification dateNovember 3, 2021

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 Dominion Health And Fitness, Inc — 73 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Johnson City