| NPI | 1366166480 |
|---|---|
| Former Name | JORDON DIANE RIGGS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-188889) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11022042) |
| Enumeration Date | 2022-10-03 |
| Last Update Date | 2024-01-11 |