JORDAN RAY NOBLE


Address: 4077 Fifth Ave, San Diego, CA 92103-2105
Phone: 3124025335

JORDAN RAY NOBLE (NPI# 1891310538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891310538
Entity Type Individual
Full Name JORDAN RAY NOBLE
Credential DNP, APRN, AGACNP-BC
Practice Address 4077 Fifth Ave
San Diego
CA 92103-2105
Mailing Address 3976 Dove St
San Diego
CA 92103-2939
Practice Telephone 3124025335
Mailing Telephone 3124025335
Enumeration Date 2020-06-09
Last Update Date 2020-10-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
95014440 CA Physician Assistants & Advanced Practice Nursing Providers
N 363LA2100X Nurse Practitioner
Specialization: Acute Care
209021013 IL Physician Assistants & Advanced Practice Nursing Providers
N 363LG0600X Nurse Practitioner
Specialization: Gerontology
209.021013 IL Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
195 N Harbor Dr Apt 4507, Chicago, IL 606017536 3124025335
5841 S Maryland Ave, Chicago, IL 606371443 3124025335

Other Providers JORDAN NOBLE

NPI Name Taxonomy Address Enumeration
1952909137 Jordan Noble Technician 955 W Craig Rd Ste 114, North Las Vegas, NV 89032-0284 2020-10-11
1780212399 Jordan Ariana Noble Student in an Organized Health Care Education/Training Program 1 Childrens Way # 512-19a, Little Rock, AR 72202-3500 2020-03-30
1841736063 Jordan Elizabeth Noble Physician Assistant 1210 1st St W, Hastings, MN 55033-1147 2017-01-11

Office Location

Street Address 4077 FIFTH AVE
City SAN DIEGO
State CA
Zip Code 92103-2105

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306808464 Eric Dahms Internal Medicine 4077 Fifth Ave, San Diego, CA 92103-2105 2006-04-04
1528672532 Orlando Manzano Nurse Practitioner 4077 Fifth Ave, San Diego, CA 92103-2105 2020-09-07
1518570167 Lindsay Gumm Social Worker 4077 Fifth Ave, San Diego, CA 92103-2105 2020-08-24
1821608811 Tammy V Pham, M.d., Apc Obstetrics & Gynecology 4077 Fifth Ave, San Diego, CA 92103-2105 2020-08-04
1861014714 Merril Lindner Dietetic Technician, Registered 4077 Fifth Ave, San Diego, CA 92103-2105 2020-05-14
1215559042 Kevin Kavanagh Pharmacist 4077 Fifth Ave, San Diego, CA 92103-2105 2020-05-14
1942821525 Page Staley Hope Moore Occupational Therapist 4077 Fifth Ave, San Diego, CA 92103-2105 2020-05-05
1316568033 Brent Conrad Beckner Pharmacist 4077 Fifth Ave, San Diego, CA 92103-2105 2020-05-04
1306474101 Kate Hebert Pool Student in an Organized Health Care Education/Training Program 4077 Fifth Ave, San Diego, CA 92103-2105 2020-03-29
1568099034 Kinaan Javed Student in an Organized Health Care Education/Training Program 4077 Fifth Ave, San Diego, CA 92103-2105 2020-03-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174140057 Carmel Agdeppa Acupuncturist Chiropractique, 813 West Washington St., San Diego, CA 92103 2020-06-26
1568082717 Salina Ann Bambic Social Worker 302 Washington Street Suite 420, San Diego, CA 92103 2020-04-17
1467099432 Lina Hong Behavior Technician 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 2019-12-09
1154964567 Rodger Stacy Questin, Psychologist P.C. Psychologist 440 Upas St Apt 402, San Diego, CA 92103 2019-10-18
1932740388 Grace Tong-ventura Pharmacist 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 2019-10-07
1306490453 Genevieve Cheung Pharmacist 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 2019-07-26
1801356837 Marika Doviak Acupuncturist 2370 Hickory St, San Diego, CA 92103 2019-03-25
1982185070 Tyler Lewis Roberts Counselor 4303 3rd Ave, San Diego, CA 92103 2018-08-27
1689151284 Tori Breanne Blackwell Occupational Therapist 3731-a 6th Avenue, San Diego, CA 92103 2018-07-26
1952892614 Pacific Bay Recovery Inc Substance Abuse Rehabilitation Facility 4095 Jackdaw St, San Diego, CA 92103 2018-05-29
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063028298 Kanokwan Kultan Nurse Practitioner 15850 Babcock St, San Diego, CA 92127-3680 2020-09-22
1730357229 Michael Andrew Palacio Nurse Practitioner 7625 Mesa College Dr Ste 315a, San Diego, CA 92111-5343 2008-02-19
1447462130 Barbara Rose Lome Nurse Practitioner Scripps Mercy Hospital- Trauma Dept, 4077 Fifth Avenue, San Diego, CA 92104 2007-05-04
1144267642 Darlene Mcmiddleton Nurse Practitioner 1963 4th Ave, San Diego, CA 92101-2394 2006-06-01
1730176785 Kristine Lynn Ortiz Nurse Practitioner 7901 Frost St, Sharp Memorial Hospital Cardiac Transplant Department, San Diego, CA 92123-2701 2005-10-04
1811543622 Alexandria Diane Chavez Nurse Practitioner 200 W Arbor Dr, San Diego, CA 92103 2019-08-16
1396255121 Yendry Charlotte Acosta Nurse Practitioner 292 Euclid Ave Ste 115, San Diego, CA 92114-3629 2017-10-06
1104346022 Nicole Marie Murphy Nurse Practitioner 7801 Mission Center Ct, Suite 250, San Diego, CA 92108 2017-06-21
1972934958 Emilee Patel Nurse Practitioner 4077 5th Ave, Mer62, San Diego, CA 92103-2105 2013-12-02
1063842078 Caitlin Gordon Nurse Practitioner 200 W Arbor Dr, San Diego, CA 92103-9000 2013-11-13
Find all providers in SAN DIEGO

Competitor

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City SAN DIEGO
Zip Code 92103

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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