Individual provider · Type 1 NPI
Jordyn Nicole Dorman
Acute Care Nurse Practitioner · Galesburg, IL
NPI number
1730848862
Active
Practice location
3333 N Seminary St
Galesburg, IL 61401-1251
Mailing address
750 W Old Vine St
Canton, IL 61520
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 209024585 (IL) |
| Registered Nurse | 163W00000X | 041503368 (IL) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1730848862
Jordyn Nicole Dorman's National Provider Identifier is 1730848862, issued on Dec 16, 2021. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Galesburg, IL. The record was last updated on Dec 22, 2021.