JORDAN RAY NOBLE DNP APRN AGACNP-BC NPI 1891310538

NPI Information

NPI: 1891310538
Provider Name: JORDAN RAY NOBLE, DNP, APRN, AGACNP-BC
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

Address:
4077 FIFTH AVE
SAN DIEGO, CA
ZIP 92103
Phone: (312) 402-5335
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Jordan Ray Noble, DNP, APRN, AGACNP-BC is an acute care nurse practitioner in San Diego, CA. Jordan Ray Noble, DNP, APRN, AGACNP-BC NPI is 1891310538. 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:

4077 FIFTH AVE
SAN DIEGO, CA
ZIP 92103-105
Phone: (312) 402-5335

The enumeration date for this NPI number is 6/9/2020 and was last updated on 10/13/2020.

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	363LA2100X	Nurse Practitioner	Acute Care	95014440	CALIFORNIA	Yes
2	363LA2100X	Nurse Practitioner	Acute Care	209021013	ILLINOIS	No
3	363LG0600X	Nurse Practitioner	Gerontology	209.021013	ILLINOIS	No

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: 4/28/2024

NPI Synchronization or Removal

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