person
Jordan Russell Moore
Family Nurse Practitioner in Mount Vernon, Ohio
NPI 1821651571

Jordan Russell Moore is a Family Nurse Practitioner based in Mount Vernon, OH and is specialized in Family. Jordan Russell Moore practices in Mount Vernon, OH. The NPI Number for Jordan Russell Moore is 1821651571 and holds a License No. APRN.CNP.025092 (Ohio).

The current practice location address for Jordan Russell Moore is 206 S Mulberry St, Mount Vernon, OH and can be reached out via phone at 740-399-3008.

Location: 206 S Mulberry St, Mount Vernon, OH, 43050-3331
person
Provider Profile Details
NPI Number
1821651571
Provider Name
Jordan Russell Moore
Credential
Provider Entity Type
Individual
Gender
Male
Address
206 S Mulberry St, Mount Vernon, OH, 43050-3331
Phone Number
740-399-3008
Fax Number
Provider Enumeration Date
04/18/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
APRN.CNP.025092 01 OH STATE LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
206 S Mulberry St
City
State
Zip
43050-3331
Phone Number
740-399-3008
Fax Number
person
Provider Business Mailing Address Details
Address
206 S Mulberry St
City
State
Zip
43050-3331
Phone Number
740-399-3008
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
APRN.CNP.025092 (Ohio)
Definition
Definition to come...
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