| NPI | 1669965000 |
|---|---|
| Former Name | JORDAN ROGERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 9410928) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9410928) |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2026-04-07 |