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Individual
JORDANA LEE KANE
Active
Individual
JORDANA LEE KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R41381
ND
363LF0000X
Family Nurse Practitioner
1-185885
AL
Other
Enumeration date
05/26/2021
Last updated
08/13/2021
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