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Individual
JORDAN WILES
Active
Individual
JORDAN WILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP9346845
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN9346845
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105018800
—
FL
01
—
L5777
FL MEDICARE
FL
Enumeration date
01/03/2018
Last updated
12/12/2024
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