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Individual
BRIDGET THERESA O'BOYLE-JORDAN
Active
Individual
BRIDGET THERESA O'BOYLE-JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
200541965RN
OR
363LP0200X
Pediatric Nurse Practitioner
Primary
200550154NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023299
—
OR
Enumeration date
08/01/2006
Last updated
07/27/2021
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