SearchOhio390200000X

Jordan Moore

NPI 1467248310 · on the registry since 2025 · sole proprietor

Practice

Address
59 Grant St
Newark, OH 43055
Phone
(740) 349-7511
Clinicians at this address
85

Registry record

Primary taxonomy
390200000X
390200000X
Also registered as
172V00000X
Sex
Male
Record last updated
2025-12-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio