Provider Demographics
NPI:1407662752
Name:CARROLL, JORDAN TAYLOR (DC)
Entity type:Individual
Prefix:DR
First Name:JORDAN
Middle Name:TAYLOR
Last Name:CARROLL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:830 TAPESTRY WAY APT 2203
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37932-3532
Mailing Address - Country:US
Mailing Address - Phone:803-467-0492
Mailing Address - Fax:
Practice Address - Street 1:1660 S ALBION ST STE 227
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-4041
Practice Address - Country:US
Practice Address - Phone:720-214-2549
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-10
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic