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Individual
JORDAN D RUPP
Active
Individual
JORDAN D RUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01071865A
IN
207P00000X
Emergency Medicine Physician
Primary
51160
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201102130
—
IN
05
—
Q005917
—
TN
Enumeration date
05/12/2011
Last updated
04/25/2025
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