| NPI | 1982477097 |
|---|---|
| Former Name | BRIANNA JORDAN PHARES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5018980) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP003151) |
| Enumeration Date | 2023-10-31 |
| Last Update Date | 2025-06-26 |