Individual
JOURDAN DARIA MILLIARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
240 W THOMAS RD STE 400, PHOENIX, AZ 85013-4407
(855) 900-9975
Mailing address
240 W THOMAS RD STE 400, PHOENIX, AZ 85013-4407
(602) 406-6262
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
221759
AZ
Other
Enumeration date
06/19/2019
Last updated
08/04/2020
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