Healthcare Provider Details

I. General information

NPI: 1831928340
Provider Name (Legal Business Name): JEFFREY MICHAEL HORN DNP, PMHNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2024
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

948 PATTERSON RD
DAYTON OH
45419-4336
US

IV. Provider business mailing address

3419 ELBERT DR
FAIRFIELD TOWNSHIP OH
45011-6638
US

V. Phone/Fax

Practice location:
  • Phone: 937-345-0916
  • Fax:
Mailing address:
  • Phone: 937-609-6565
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN.CNP.0041075
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License NumberRN.343007
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: