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Individual
JORDAN MERRYMAN
Active
Individual
JORDAN MERRYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
3018509
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300071392
—
IN
05
—
7100873300
—
KY
Enumeration date
12/05/2022
Last updated
02/28/2023
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