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

Jordan Scott Nickels

Individual provider Family Nurse Practitioner · NPI 1922929504

Jordan Scott Nickels is a Family Nurse Practitioner in Rogersville, Tennessee. Licensed in Tennessee and Virginia. Registered with an NPI since 2026.

Licensed in
TN, VA
In the registry since
2026
Specialties on file
2

Practice location Address checks out

300 Park Blvd
Rogersville, TN 37857-2912
Phone: (423) 347-6021
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 42437 (TN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 0024198030 (VA)

Record details

NPI number1922929504
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 21, 2026
Last updated in NPPESJuly 21, 2026
Certification dateJuly 21, 2026

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