Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jordan Moore

Individual provider Community Health Worker · NPI 1467248310

Jordan Moore is a Community Health Worker in Newark, Ohio. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2

Practice location Address checks out

59 Grant St
Newark, OH 43055-3939
Phone: (740) 349-7511
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Community Health Worker Taxonomy 172V00000X

Record details

NPI number1467248310
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 17, 2025
Last updated in NPPESDecember 4, 2025
Certification dateDecember 4, 2025
Mailing address1801 Watermark Dr, Columbus, OH 43215-7088

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