Search › Tennessee › 101YM0800X
Jordan Costello
NPI 1942085238 · on the registry since 2023 · sole proprietor
Practice
- Address
- 1704 E Broadway Ave
Maryville, TN 37804 - Phone
- (865) 681-6990
- Organisation at this address
- Genoa Healthcare Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 81
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 1041C0700X
- Sex
- Male
- Record last updated
- 2024-05-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee