Individual Healthcare Provider
Mary Elisabeth Jordan, FNP-C
Provider's NPPES record last updated: December 9, 2025
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1629518626
- Primary Specialty
- Nurse Practitioner — Family
- Practice Location
- Jasper, Tennessee
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 2:15 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Family
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LF0000X Clinical Nurse Specialist
Family Health
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 364SF0001X
Provider-Reported License Information
- Nurse Practitioner (Tennessee)
- 22310
- Clinical Nurse Specialist (Tennessee)
- 22310
Practice Locations
Practice Location
4665 Main St Suite 2
Jasper, Tennessee 37347
Phone: (423) 942-0145
Additional Practice Location
1415 Hillsboro Blvd Ste 106
Manchester, Tennessee 37355-2599
Phone: (931) 954-5605
Fax: (931) 954-5606
Record Information
- Enumeration Date
- February 24, 2017
- Provider's NPPES Record Last Updated
- December 9, 2025
- Certification Date
- December 9, 2025
- NPISignal NPPES Dataset
- August 2026
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