NPI | 1891395208 |
---|---|
Former Name | JORDYN LEE PLATT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: FL APRN11009704) |
Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: FL APRN11009704) |
363LF0000X Nurse Practitioner Family (Licence: FL APRN11009704) | |
Enumeration Date | 2020-10-27 |
Last Update Date | 2024-04-02 |