NPI | 1063275097 |
---|---|
Former Name | JORDYN REYNOLDS JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F405397) |
Enumeration Date | 2024-02-01 |
Last Update Date | 2024-02-01 |