| NPI | 1285369066 |
|---|---|
| Former Name | JASMINE DIANE JORDAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRNCNP0032580) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH RN.404016) |
| Enumeration Date | 2022-07-18 |
| Last Update Date | 2023-11-16 |