JARED ANDREW MORT


Address: 2792 Rhett Dr, Beavercreek, OH 45434-6259
Phone: 2104888143

JARED ANDREW MORT (NPI# 1538701933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538701933
Entity Type Individual
Full Name JARED ANDREW MORT
Credential APRN, CNS
Practice Address 2792 Rhett Dr
Beavercreek
OH 45434-6259
Practice Telephone 2104888143
Mailing Telephone 2104888143
Enumeration Date 2019-10-17
Last Update Date 2019-10-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364SG0600X Clinical Nurse Specialist
Specialization: Gerontology
11004509 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL FLORIDA BOARD OF NURSING APRN LICENSE AS A CLINICAL NURSE SPECIA 11004509 01

Office Location

Street Address 2792 RHETT DR
City BEAVERCREEK
State OH
Zip Code 45434-6259

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407374218 Jacen Patrick Millette Student in an Organized Health Care Education/Training Program 1441 Red Barn Way, Beavercreek, OH 45434 2017-08-31
1447618079 Patricia Wathen Speech-Language Pathologist 2498 Dayton Xenia Rd., Beavercreek, OH 45434 2016-02-10
1295126027 Taylor Shears Behavioral Analyst 608 Phillips Drive, Beavercreek, OH 45434 2015-02-16
1376943308 Barbara Cantwell Speech-Language Pathologist 2660 Dayton-xenia Rd, Beavercreek High School, Beavercreek, OH 45434 2014-08-27
1396028783 Shawna M White Physical Therapist 3224 Dayton Xenia Road, Suite 120, Beavercreek, OH 45434 2011-09-22
1790063444 Amy Michelle Williamson Licensed Practical Nurse 2111 Beaver Valley Rd., Beavercreek, OH 45434 2011-07-29
1730311333 Victoria T Strickland Physical Therapist 810 Orchard Ln Ste 201, Beavercreek Township, OH 45434 2009-08-14
1487892964 Emily Elizabeth Hendrickson Nurse Practitioner 3140 Dayton Xenia Road, Suite C, Beavercreek, OH 45434 2009-01-22
1326237066 Linda M. Rauch Counselor 3095 Dayton-xenia Rd., Suite 600, Beavercreek, OH 45434 2007-10-18
1942413919 John Edward Seeley Specialist/Technologist 2621 Patrick Henry Drive, Beavercreek, OH 45434 2007-05-07
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Taxonomy Information

Taxonomy Code 364SG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1336555069 Kelly Dion Clinical Nurse Specialist 4110 Warrensville Center Road, Warrensville Heights, OH 44122 2014-07-02
1093955072 Kathleen Ellen Meyer Clinical Nurse Specialist 3696 Beverly Hills Dr, Rocky River, OH 44116-3745 2009-03-03
1619094182 Sue E. Moore Clinical Nurse Specialist 270 S Grant Ave, Columbus, OH 43215-5334 2007-03-22
1225017114 Kathleen A. Ondus Clinical Nurse Specialist 1130 Tower Blvd Ste B, Lorain, OH 44052-5200 2006-01-10
1457909624 Mckenzie Givhan Mason Clinical Nurse Specialist 1 Wyoming St, Dayton, OH 45409-2711 2019-08-29
1073165999 Kayla Marie Little Clinical Nurse Specialist 9500 Euclid Ave, Cleveland, OH 44195-0001 2019-07-11
1295202026 Kathleen Bolton Clinical Nurse Specialist 410 W 10th Ave, Columbus, OH 43210-1240 2018-10-30
1497238638 Karen N Meade Clinical Nurse Specialist 460 W 10th Ave Fl 20, Columbus, OH 43210-1240 2018-09-13
1396244687 Holly Jo Long Clinical Nurse Specialist 8087 Washington Village Dr Ste 120, Dayton, OH 45458-1873 2018-02-02
1629580618 Elizabeth Dale Weaver Clinical Nurse Specialist 500 Thomas Ln, Columbus, OH 43214-1401 2017-10-30
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Competitor

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City BEAVERCREEK
Zip Code 45434

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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