| NPI | 1487423679 |
|---|---|
| Former Name | JORDAN NICOLE CAMPAGNONE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2362284) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2362284) |
| Enumeration Date | 2023-12-28 |
| Last Update Date | 2025-09-03 |