NPI | 1437700101 |
---|---|
Other Name | CORTNIE L JORDAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71009770A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28225685A) |
Enumeration Date | 2019-09-24 |
Last Update Date | 2022-01-07 |