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Individual
MR. JORDAN TIMOTHY HERBERT
Active
Individual
MR. JORDAN TIMOTHY HERBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGPCNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704293610
MI
363LP2300X
Primary Care Nurse Practitioner
4704293610
MI
Other
Enumeration date
12/21/2016
Last updated
04/11/2022
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