IndividualActive
Jackie Moran
NPI 1356834949 · Licensed Practical Nurse · Portage, MI
Jackie Moran is a Licensed Practical Nurse provider in Portage, MI (NPI 1356834949).
Provider details
- NPI number
- 1356834949
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 4703099559 (MI)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
524 W Centre Ave
Portage, MI 49024-5306
Phone: (269) 324-1180
Street-level locationGet directions
Mailing address
8405 W Rs Ave
Schoolcraft, MI 49087-8432
Registry dates
- Enumerated
- 2018-06-08
- Last updated
- 2018-06-08
Frequently asked questions
- What is Jackie Moran's NPI number?
- Jackie Moran's National Provider Identifier (NPI) is 1356834949, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jackie Moran's specialty?
- Jackie Moran is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).
- Where is Jackie Moran located?
- Jackie Moran's practice location on file with NPPES is 524 W Centre Ave, Portage, MI 49024-5306.
- What is Jackie Moran's phone number?
- The practice phone number listed in the NPPES registry for Jackie Moran is (269) 324-1180.
- Is Jackie Moran's NPI active?
- Yes — Jackie Moran's NPI (1356834949) is active in the NPPES registry as of the last update on 2018-06-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.