Individual
JORDAN RYLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
777 S MAIN ST, CLINTON, IN 47842-2493
(765) 828-1003
(765) 828-1030
Mailing address
777 S MAIN ST, CLINTON, IN 47842-2493
(765) 828-1003
(765) 828-1030
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28191337A
IN
363L00000X
Nurse Practitioner
Primary
71006979A
IN
Other
Enumeration date
02/03/2017
Last updated
03/22/2017
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