JORDAN RUSSELL MOORE


Address: 206 S Mulberry St, Mount Vernon, OH 43050-3331
Phone: 7403993008

JORDAN RUSSELL MOORE (NPI# 1821651571) 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) 1821651571
Entity Type Individual
Full Name JORDAN RUSSELL MOORE
Practice Address 206 S Mulberry St
Mount Vernon
OH 43050-3331
Practice Telephone 7403993008
Mailing Telephone 7403993008
Enumeration Date 2019-04-18
Last Update Date 2019-08-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
APRN.CNP.025092 OH Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
OH STATE LICENSE NUMBER APRN.CNP.025092 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
207 W High St, Mount Vernon, OH 430502427 7403921181

Other Providers JORDAN MOORE

NPI Name Taxonomy Address Enumeration
1356952337 Jordan Dru Moore Speech-Language Pathologist 2709 Francisco St Unit B, Austin, TX 78702-3920 2020-08-12
1134767312 Jordan David Moore Specialist/Technologist Boston Sports Institute, 900 Worcester St, Wellesley, MA 02482 2019-12-18
1295387660 Jordan William Moore Chiropractor 7921 Tanner Williams Rd Ste B, Mobile, AL 36608-8303 2019-07-15
1164980801 Jordan Moore Student in an Organized Health Care Education/Training Program 800 Galloway Drive, Hammond, LA 70402-0001 2019-03-12
1255826111 Jordan Moore Speech-Language Pathologist 4701 Patrick Henry Dr., Bldg 23, Suite D, Santa Clara, CA 95054 2018-06-24
1124522834 Jordan Alexander Moore Technician, Pathology 4032 Knollbrook Dr Nw, Huntsville, AL 35810-1832 2018-03-19
1134673577 Jordan Robert Moore Pharmacist 202 Becker St, Danville, PA 17821-1180 2016-08-14
1013992619 Jordan A Moore Dermatology 121 E Silver Spring Dr, Whitefish Bay, WI 53217-4702 2005-12-07
1609425743 Jordan Moore Behavior Technician 418b W Mountain St, Kernersville, NC 27284-2534 2019-09-11
1215583091 Jordan Moore Case Manager/Care Coordinator 3111 S 70th St, Fort Smith, AR 72903-5017 2019-08-16

Office Location

Street Address 206 S MULBERRY ST
City MOUNT VERNON
State OH
Zip Code 43050-3331

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144261520 Richard B. Ogle Do Inc Family Medicine 206 S Mulberry St, Mount Vernon, OH 43050-3331 2006-06-09
1336487081 Simona L Moore Cnp LLC Nurse Practitioner 206 S Mulberry St, Mount Vernon, OH 43050-3331 2013-01-30
1518260389 Mount Vernon Dental-richard M. Sprang, Dds, LLC Dentist 206 S Mulberry St, Mount Vernon, OH 43050-3331 2010-12-16
1215063631 Ogle Family Practice Neuromusculoskeletal Medicine, Sports Medicine 206 S Mulberry St, Suite B, Mount Vernon, OH 43050-3331 2007-02-27
1821029729 Jennifer F Ogle Family Medicine 206 S Mulberry St, Suite B, Mount Vernon, OH 43050-3331 2006-07-06
1689606451 Brent Burton Ogle Family Medicine 206 S Mulberry St, Suite B, Mount Vernon, OH 43050-3331 2006-07-06
1679502181 Simona Lydia Moore Nurse Practitioner 206 S Mulberry St, Mount Vernon, OH 43050-3331 2006-06-30
1114961117 Richard B Ogle Family Medicine 206 S Mulberry St, Mount Vernon, OH 43050-3331 2006-06-16
1972544757 Ogle Family Practice Family Medicine 206 S Mulberry St, Mount Vernon, OH 43050-3331 2006-06-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043739972 Roxanne Renee Berry Case Manager/Care Coordinator Bhp 8402 Blackjack Rd, Mt Vernon, OH 43050 2017-09-12
1477079309 Blaine Elizabeth Barr Case Manager/Care Coordinator 510 Mitchell Avenue, Mount Vernon, OH 43050 2017-08-22
1205351004 Knox Community Hospital Durable Medical Equipment & Medical Supplies 1330 Coshocton Ave., Mount Vernon, OH 43050 2017-08-14
1568998722 Jami Passwaters Case Manager/Care Coordinator 8402 Blackjack Road, Mount Vernon, OH 43050 2017-05-10
1962892661 Mount Vernon Nh LLC Assisted Living Facility 1135 East Gambier Street, Mount Vernon, OH 43050 2015-02-02
1881009017 Pamela Robinson Licensed Practical Nurse 10263 Tucker Road, Mount Vernon, OH 43050 2014-06-26
1356756837 Charla Sue Johnson Licensed Practical Nurse 228 Delano Street, Mt Vernon, OH 43050 2014-06-24
1588076236 Erica Ferrell Licensed Practical Nurse 701 West Burgess Street, Mount Vernon, OH 43050 2014-05-29
1386085637 Genesis Rehab Services Assisted Living Facility 6918 Wigton Road, Mount Vernon, OH 43050 2013-07-16
1427310473 Jonathan Titus Hardin Family Medicine 1330 Coschocton Road, Mount Vernon, OH 43050 2012-06-14
Find all providers in zip 43050

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003421066 Amantha Theodore Nurse Practitioner 531 E Lincoln Ave Apt 4n, Mount Vernon, NY 10552-3743 2020-09-15
1093320392 Ryan Michael Winder Nurse Practitioner 615 A Ave Se, Mount Vernon, IA 52314-1532 2020-09-14
1154969103 Sarah Jacqueline Lim-dwyer Nurse Practitioner 1400 East Kincaid Street, Mount Vernon, WA 98274-4127 2019-12-19
1306481056 Julie Marie Forbes-laborde Nurse Practitioner 27 Beekman Ave Apt 2, Mount Vernon, NY 10553-1491 2019-11-15
1447819305 Gladys E Aideyan Nurse Practitioner 130 Stuyvesant Plz, Mount Vernon, NY 10552-1413 2019-06-13
1417467929 Shernette T Suer Nurse Practitioner 105 Stevens Ave Ste 506, Mount Vernon, NY 10550-2683 2017-10-10
1194254946 Amy Haibel Nurse Practitioner 206 S Mulberry St Ste B, Mount Vernon, OH 43050-3331 2017-06-06
1699216697 Diana Mcnear Nurse Practitioner 421 S 3rd Ave, Mount Vernon, NY 10550-4507 2017-03-10
1598200867 Vivienne Iona Bartley Nurse Practitioner 115 Primrose Avenue, Mount Vernon, NY 10552 2016-12-22
1144772955 Tahiesha Tolbert Nurse Practitioner 153 Stevens Ave Ste 4, Mount Vernon, NY 10550-2543 2016-10-27
Find all providers in MOUNT VERNON

Competitor

Search similar providers

City MOUNT VERNON
Zip Code 43050

Improve Information

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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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