IndividualActive
Jared Mort, APRN, CNS
NPI 1538701933 · Gerontology Clinical Nurse Specialist · Beavercreek, OH
Provider details
- NPI number
- 1538701933
- Entity type
- Individual
- Primary specialty
- Gerontology Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN, CNS
- Sex
- Male
- Sole proprietor
- No
- License
- 11004509 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2792 Rhett Dr
Beavercreek, OH 45434-6259
Phone: (210) 488-8143
Approximate (ZIP-level) locationGet directions
Mailing address
2792 Rhett Dr
Beavercreek, OH 45434-6259
Registry dates
- Enumerated
- 2019-10-17
- Last updated
- 2019-10-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.