| NPI | 1346818838 |
|---|---|
| Former Name | MELISSA J JORDAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3015847) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 3015847) |
| Enumeration Date | 2021-06-11 |
| Last Update Date | 2021-09-03 |