Jordan Licata, DO
Otolaryngology (ENT) · Tullahoma, TN
UnclaimedDONPI 1952795106
- Primary taxonomy
- 207Y00000X
- Enumerated
- 2015-03-26
- Practice location
- Tullahoma, TN
- Last NPPES update
- 2024-12-12
State licenses
- KY · Osteopathic physician · NPPES self-reportedListed on NPI record
- TN · Osteopathic physician · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.