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JACK WALTER MORA
NPI 1508759309
Nurse Anesthetist, Certified Registered in Fort Myers, FL

Active since May 30, 2025
8251 PATHFINDER LOOP APT 617, FORT MYERS, FL 33919(239) 322-7732 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Jack Walter Mora NPPES

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

JACK WALTER MORA (NPI 1508759309) is an individual nurse anesthetist, certified registered in Fort Myers, Florida, licensed in Florida (APRN11047887) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1508759309
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJACK WALTER MORA
Location Address8251 PATHFINDER LOOP APT 617Fort Myers, FL 33919-8793
Mailing Address8251 Pathfinder Loop Apt 617Fort Myers, FL 33919-8793 · (239) 322-7732
Phone(239) 322-7732
Sole ProprietorYes
Enumeration DateMay 30, 2025
Last NPPES UpdateJune 8, 2026
NPPES CertifiedJune 8, 2026
✔ NPI 1508759309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in FL · APRN11047887
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered NurseTaxonomy 163W00000X · License 9555145 (FL)
8251 PATHFINDER LOOP APT 617, Fort Myers, FL 33919
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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 Jack Mora's NPI number?

The NPI number for Jack Mora is 1508759309. It was assigned to this individual provider in the NPPES registry on May 30, 2025.

Where is Jack Mora located?

Jack Mora practices at 8251 Pathfinder Loop Apt 617, Fort Myers, FL 33919. The listed phone number is (239) 322-7732.

What is Jack Mora's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for Jack Mora was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.