Individual
JORDAN RYAN KILGORE
Active
Individual
JORDAN RYAN KILGORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, AGACNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
231456
TN
363LA2100X
Acute Care Nurse Practitioner
Primary
34441
TN
363LG0600X
Gerontology Nurse Practitioner
34441
TN
Other
Enumeration date
08/09/2023
Last updated
02/15/2024
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