Individual
MISS KERI NICOLE JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N., N.N.P.
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
183833
TN
363LN0000X
Neonatal Nurse Practitioner
18660
TN
Other
Enumeration date
11/24/2013
Last updated
02/23/2022
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