| NPI | 1427573260 |
|---|---|
| Former Name | ALYSSA JORDAN WARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL F06181825) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-141605) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AL 1-141605) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AL 2017023808) | |
| Enumeration Date | 2017-08-12 |
| Last Update Date | 2024-04-29 |