Individual
JORDAN EDWARD GOUKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1745 TOUCHSTONE WAY, INDIANAPOLIS, IN 46239-8972
(765) 639-2892
Mailing address
1745 TOUCHSTONE WAY, INDIANAPOLIS, IN 46239-8972
(765) 639-2892
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
LP-0010760
DE
Other
Enumeration date
05/11/2024
Last updated
05/11/2024
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