Healthcare Provider Details

I. General information

NPI: 1225893019
Provider Name (Legal Business Name): APRILLE JORDAN MSN, APRN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2024
Last Update Date: 11/05/2024
Certification Date: 11/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2725 PINKERTON LN
ZANESVILLE OH
43701-1513
US

IV. Provider business mailing address

240 STARE RD
NEWARK OH
43055-4725
US

V. Phone/Fax

Practice location:
  • Phone: 740-891-9000
  • Fax:
Mailing address:
  • Phone: 614-403-6259
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN.CNP.0037668
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.465387
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: