Healthcare Provider Details

I. General information

NPI: 1508597915
Provider Name (Legal Business Name): JORDYN M WARREN APRN-CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2022
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

209 N CHILLICOTHE ST
PLAIN CITY OH
43064-1045
US

IV. Provider business mailing address

209 N CHILLICOTHE ST
PLAIN CITY OH
43064-1045
US

V. Phone/Fax

Practice location:
  • Phone: 614-873-6700
  • Fax:
Mailing address:
  • Phone: 614-873-6700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0030674
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: