Jonathan Trahan Valid NPI

Individual provider · Family Nurse Practitioner · Carriere, MS

NPI

1326584822

Type

Individual (Type 1)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

901907 (MS)

Sex

Male

Sole proprietor

No

Enumerated

2017-01-09

Last updated

2017-01-09