Tyler Larae Jordan-black is a family nurse practitioner in Gainesville, FL with 3 years of experience. Tyler Larae Jordan-black NPI is 1811571342. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
1600 SW ARCHER RD
GAINESVILLE, FL
ZIP 32610-003
Phone: (352) 284-4984
The NPI 1811571342 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 5/11/2021 and was last updated on 6/8/2021.