Provider Demographics
NPI:1033661426
Name:DRISKELL, JORDAN K (MS)
Entity type:Individual
Prefix:
First Name:JORDAN
Middle Name:K
Last Name:DRISKELL
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:JORDAN
Other - Middle Name:
Other - Last Name:YARBROUGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:211 N BRAGG AVE
Mailing Address - Street 2:
Mailing Address - City:LOOKOUT MOUNTAIN
Mailing Address - State:TN
Mailing Address - Zip Code:37350-1203
Mailing Address - Country:US
Mailing Address - Phone:423-355-8786
Mailing Address - Fax:
Practice Address - Street 1:225 N MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60601-7757
Practice Address - Country:US
Practice Address - Phone:312-766-6780
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-01
Last Update Date:2025-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2444106H00000X
171M00000X, 101YM0800X
KS106H00000X
CA108635106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health