Jordan Boss

NPI #1841929569 in Millbury, Ohio

Provider Information

NPI Number: 1841929569
Entity Type: Individual
Name: Jordan Boss
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Registered Nurse
Enumeration Date: Jun 8, 2022
Last Updated: Aug 31, 2022

Practice Location

Address: 23251 W MOLINE MARTIN RD
City: Millbury
State: Ohio
ZIP Code: 43447-9522
Phone: (419) 265-1813

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary
Nurse Anesthetist, Certified Registered	367500000X

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