NPI
Jordan Burke
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Credential
- PA
- Type
- Individual
- Enumeration date
- 2013-11-12
- Last updated
- 2025-02-22
Specialties
Licenses
- License VA
- 0110004691
- License TN
- 2436
Location
- Practice location
- 111 W Stone Dr Ste 110
- City
- Kingsport TN
- Postal code
- 37660-6027
- Phone
- (423) 224-3701
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Kingsport, TN. 2,464 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.