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JACKIE MORAN
NPI 1356834949
Licensed Practical Nurse in Portage, MI

Active since June 08, 2018
524 W CENTRE AVE, PORTAGE, MI 49024(269) 324-1180 Get Directions Write a Review

NPPES record last updated: June 8, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jackie Moran NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKIE MORAN (NPI 1356834949) is an individual licensed practical nurse in Portage, Michigan, licensed in Michigan (4703099559) and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1356834949
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameJACKIE MORAN
Location Address524 W CENTRE AVEPortage, MI 49024-5306
Mailing Address8405 W Rs AveSchoolcraft, MI 49087-8432
Phone(269) 324-1180
Sole ProprietorNo
Enumeration DateJune 8, 2018
✔ NPI 1356834949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in MI · 4703099559
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
524 W CENTRE AVE, Portage, MI 49024
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. PAMELA JOYCE SANDERS-CARTER RN
Registered Nurse (School)
524 W CENTRE AVE
PORTAGE, MI 49024
Kalamazoo County (269) 324-1180
TODD PUSHEE
Registered Nurse
524 W CENTRE AVE
PORTAGE, MI 49024
Kalamazoo County (269) 324-1180
KIMBERLY BLOK
Licensed Practical Nurse
524 W CENTRE AVE
PORTAGE, MI 49024
Kalamazoo County (269) 324-1180
VICKI LYNN GATES
Registered Nurse
524 W CENTRE AVE
PORTAGE, MI 49024
Kalamazoo County (269) 324-1180
ERNEST NOEL
Registered Nurse
524 W CENTRE AVE
PORTAGE, MI 49024
Kalamazoo County (269) 324-1180
CYNTHIA PAWLICKI
Licensed Practical Nurse
524 W CENTRE AVE
PORTAGE, MI 49024
Kalamazoo County (269) 324-1180
LATEKA WADE
Licensed Practical Nurse
524 W CENTRE AVE
PORTAGE, MI 49024
Kalamazoo County (269) 324-1180
LORI ELLIS
Registered Nurse
524 W CENTRE AVE
PORTAGE, MI 49024
Kalamazoo County (269) 324-1180

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackie Moran's NPI number?

The NPI number for Jackie Moran is 1356834949. It was assigned to this individual provider in the NPPES registry on June 8, 2018.

Where is Jackie Moran located?

Jackie Moran practices at 524 W Centre Ave, Portage, MI 49024. The listed phone number is (269) 324-1180.

What is Jackie Moran's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Jackie Moran was last updated on June 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.