| NPI | 1780125336 |
|---|---|
| Other Name | JORDAN TERRY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP133301) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP133301) |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2021-03-19 |