MR. JORDAN MOUNT CRNP NPI 1750613980

NPI Information

NPI: 1750613980
Provider Name: MR. JORDAN MOUNT, CRNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
505 NE 87TH AVE STE 301
VANCOUVER, WA
ZIP 98664
Phone: (360) 514-1854
Get Directions

MR. Jordan Mount, CRNP is a family nurse practitioner in Vancouver, WA with 15 years of experience. MR. Jordan Mount, CRNP NPI is 1750613980. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

505 NE 87TH AVE STE 301
VANCOUVER, WA
ZIP 98664-965
Phone: (360) 514-1854
Fax: (360) 514-6063

The NPI 1750613980 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/15/2010 and was last updated on 11/18/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	MM2292186	WASHINGTON	Yes
2	363LF0000X	Nurse Practitioner	Family	SP010707	PENNSYLVANIA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1021036480001	MEDICAID	PENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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