# JORDYN ROLLINS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1598484305
- **Gender:** F
- **Credential:** NURSE PRACTITIONER

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | NUR-RN-LIC-159953 | MT | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 14080467-4405 | UT | Yes |

## Other

- **Enumeration date:** 08/24/2022
- **Last updated:** 09/11/2024