| NPI | 1073007506 |
|---|---|
| Former Name | JORDAN MATTHEWS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0032162) |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2025-09-25 |