| NPI | 1023777091 |
|---|---|
| Former Name | JORDEN ANN SCOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A165005) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.023419) |
| Enumeration Date | 2021-12-16 |
| Last Update Date | 2022-02-28 |