Jordan Boss
Jordan Boss is a Certified Registered Nurse Anesthetist (CRNA) in Millbury, Ohio. Qualified in 2022, 4 years ago. Practices with Promedica Central Physicians, a 784-clinician group and accepts Medicare assignment. Licensed in Ohio.
- Years since qualifying
- 4
- Licensed in
- OH
- In the registry since
- 2022
- Specialties on file
- 3
Practice location Address checks out
23251 W Moline Martin RdMillbury, OH 43447-9522
Phone: (419) 265-1813
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Certified Registered Nurse Anesthetist (primary) | Taxonomy 367500000X · Licence 143781 (OH) |
|---|---|
| Registered Nurse | Taxonomy 163W00000X · Licence 432068 (OH) |
| Certified Registered Nurse Anesthetist | Taxonomy 367500000X · Licence 0020600 (OH) |
Record details
| NPI number | 1841929569 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 8, 2022 |
| Last updated in NPPES | August 31, 2022 |
| Certification date | August 31, 2022 |
| Mailing address | 23251 W Moline Martin Rd, Millbury, OH 43447-9522 |
Medicare enrollment
| Medicare specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Promedica Central Physicians — 784 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |