| NPI | 1073277703 |
|---|---|
| Professional Name | JORDAN DORSEY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL 11015603) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11015603) |
| Enumeration Date | 2021-10-28 |
| Last Update Date | 2024-02-04 |