NPI | 1497285977 |
---|---|
Former Name | JORDAN E EPPERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209016169) |
Additional Taxonomies | 163WP0000X Registered Nurse, Pain Management (Licence: IL 041415266) |
Enumeration Date | 2017-06-15 |
Last Update Date | 2017-07-14 |