NPI | 1326934258 |
---|---|
Former Name | JORDAN DUGAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71016725A) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 71016725A) |
Enumeration Date | 2025-06-16 |
Last Update Date | 2025-08-12 |