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Individual
JORDAN F ELLIOTT
Active
Individual
JORDAN F ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9514235
FL
363L00000X
Nurse Practitioner
11026749
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN11026749
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118448900
—
FL
Enumeration date
06/01/2023
Last updated
03/27/2024
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