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NPI Profile for JORDAN M DONOVAN in CAVE SPRINGS, AR.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Gerontology |
363LG0600X | 50 | Nurse Practitioner | |
Wound Care |
163WW0000X |
| NPI Number | 1881279693 |
|
| Status | Active | |
| Credentials | APRN (Advanced Practice Registered Nurse) | |
| Entity | Individual | |
| Enumeration date | 03/12/2021 | |
| Last updated | 05/04/2021 - About 5 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JORDAN M DONOVAN
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JORDAN M DONOVAN, APRN