NPI | 1023685716 |
---|---|
Former Name | JORDAN ESPERSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5014893) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AL 2020040466) |
Enumeration Date | 2021-06-10 |
Last Update Date | 2024-03-27 |