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Individual
KETEVAN JORJADZE
Active
Individual
KETEVAN JORJADZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95017739
CA
363LF0000X
Family Nurse Practitioner
F346697
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F346697
NYS
NY
Enumeration date
01/10/2021
Last updated
07/28/2022
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