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Individual
KYLIE JORDAN
Active
Individual
KYLIE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9292841
FL
363L00000X
Nurse Practitioner
Primary
APRN11005933
FL
Other
Enumeration date
01/07/2020
Last updated
02/12/2020
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