NPI | 1649783705 |
---|---|
Former Name | JORDAN BRUSH TAYLOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 23519) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 175432) |
207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: TN 23519) | |
2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TN 23519) | |
363LF0000X Nurse Practitioner, Family (Licence: TN 23519) | |
Enumeration Date | 2017-11-13 |
Last Update Date | 2023-03-07 |