Provider Demographics
NPI:1144859208
Name:NORDMAN, JANE (APRN)
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:
Last Name:NORDMAN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 635283
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-5283
Mailing Address - Country:US
Mailing Address - Phone:859-578-5662
Mailing Address - Fax:859-261-3777
Practice Address - Street 1:200 WEST 3RD STREET
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:KY
Practice Address - Zip Code:41071-1814
Practice Address - Country:US
Practice Address - Phone:859-578-5662
Practice Address - Fax:859-261-3777
Is Sole Proprietor?:No
Enumeration Date:2020-04-02
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3014522363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner