| NPI | 1437543972 |
|---|---|
| Former Name | JORDAN ELAINE CAMPBELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024173423) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 688591) |
| 163W00000X Registered Nurse (Licence: VA 1257873) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024173423) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024173423) | |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2024-11-14 |