Individual
JARED ANDREW MORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, CNS
Contact information
Practice address
2792 RHETT DR, BEAVERCREEK, OH 45434-6259
(210) 488-8143
Mailing address
2792 RHETT DR, BEAVERCREEK, OH 45434-6259
(210) 488-8143
Taxonomy
Speciality
Code
Description
License number
State
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
11004509
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11004509
FLORIDA BOARD OF NURSING APRN LICENSE AS A CLINICAL NURSE SPECIALIST
FL
Enumeration date
10/17/2019
Last updated
10/17/2019
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