NPI | 1851786024 |
---|---|
Former Name | SARAH B JORDAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95005478) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 69309) |
363L00000X Nurse Practitioner (Licence: NE 111794) | |
363L00000X Nurse Practitioner (Licence: CA 95005478) | |
Enumeration Date | 2015-04-03 |
Last Update Date | 2023-07-28 |