Individual provider · Type 1 NPI

Jordan Moore

Student in an Organized Health Care Education/Training Program · Newark, OH

NPI number 1467248310 Active

Practice location

59 Grant St
Newark, OH 43055-3939

Call (740) 349-7511 Map

Mailing address

1801 Watermark Dr
Columbus, OH 43215-7088

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker 172V00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1467248310

Jordan Moore's National Provider Identifier is 1467248310, issued on Apr 17, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Newark, OH. The record was last updated on Dec 4, 2025.