IndividualActive
Jordan Mudd
NPI 1356210926 · Occupational Health Registered Nurse · Glendale, KY
Provider details
- NPI number
- 1356210926
- Entity type
- Individual
- Primary specialty
- Occupational Health Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1141347 (KY)
Specialties & taxonomies
Nursing Service Providers
Practice location
2022 Battery Park Dr
Glendale, KY 42740-8800
Phone: (859) 314-3670
Approximate (ZIP-level) locationGet directions
Mailing address
2910 Shrewsbury Rd
Leitchfield, KY 42754-8227
Registry dates
- Enumerated
- 2025-11-03
- Last updated
- 2025-11-07
- Certified
- 2025-11-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.