| NPI | 1750272597 |
|---|---|
| Former Name | JORDAN FAITH NOURSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 17064) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 17064-33) |
| Enumeration Date | 2025-07-10 |
| Last Update Date | 2025-11-06 |