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Individual
JORDAN BOLLINGER
Active
Individual
JORDAN BOLLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
227419
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
30045
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
78827
NM
Other
Enumeration date
07/13/2020
Last updated
10/16/2024
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