| NPI | 1245162767 |
|---|---|
| Former Name | JORDAN PEEBLES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WE0003X Registered Nurse, Emergency (Licence: FL RN9618354) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11048408) |
| Enumeration Date | 2026-06-01 |
| Last Update Date | 2026-06-22 |