Individual
ASHLEY JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5215 US 1, MIMS, FL 32754-4822
(321) 225-9308
Mailing address
5215 US 1, MIMS, FL 32754-4822
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9517130
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN11028679
FL
Other
Enumeration date
08/22/2023
Last updated
09/27/2023
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