| NPI | 1679243661 |
|---|---|
| Former Name | JORDAN MICHELE COLLINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71012925A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28230999A) |
| Enumeration Date | 2021-09-20 |
| Last Update Date | 2024-01-11 |