Graduated: 2022
NPI: 1790407104
Practice Locations (3)
JORDAN C BLACK
263 E BROADWAY BLVD
JEFFERSON CITY, TN 377602810
8653750880
JORDAN C BLACK
1009 HAMPSHIRE DR
MARYVILLE, TN 378013525
8655186791
JORDAN C BLACK
410 N BROAD ST
NEW TAZEWELL, TN 378256606
4233177772
Source: CMS National Downloadable File, September 2026.