| NPI | 1528781804 |
|---|---|
| Former Name | JORDAN REBEKAH EARLES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71013261A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN f06221620) |
| Enumeration Date | 2022-09-22 |
| Last Update Date | 2022-11-17 |