| 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 |