JACK P MOSS RN
NPI 1689982530
Registered Nurse in Ithaca, NY

Active since September 14, 2010
55 BROWN RD, ITHACA, NY 14850(607) 274-6604(607) 274-6620 Get Directions Write a Review

NPPES record last updated: September 14, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jack P Moss Rn NPPES

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

JACK P MOSS RN (NPI 1689982530) is an individual registered nurse in Ithaca, New York, licensed in New York (439954) and active in the NPI registry since September 2010.

NPPES Registry Identity

NPI1689982530
Entity TypeIndividualMale
Primary Taxonomy163W00000X
Provider Legal NameJACK P MOSSCredential: RN
Location Address55 BROWN RDIthaca, NY 14850-1247
Mailing Address55 Brown RdIthaca, NY 14850-1247 · (607) 274-6604 · Fax (607) 274-6620
Fax(607) 274-6620
Sole ProprietorYes
Enumeration DateSeptember 14, 2010
NPI 1689982530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License Licensed in NY · 439954
Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

55 BROWN RD, Ithaca, NY 14850

Other Identifiers 1

Other22 439954NY · Nursing License

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.

Registered Nurse
55 BROWN RD
ITHACA, NY 14850
Registered Nurse
55 BROWN RD
ITHACA, NY 14850
Registered Nurse
55 BROWN RD
ITHACA, NY 14850
Registered Nurse
55 BROWN RD
ITHACA, NY 14850
Registered Nurse
55 BROWN RD
ITHACA, NY 14850
Registered Nurse
55 BROWN RD
ITHACA, NY 14850
Registered Nurse
55 BROWN RD
ITHACA, NY 14850
Registered Nurse
55 BROWN RD
ITHACA, NY 14850

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689982530, enumerated as an "individual" on September 14, 2010.

The provider is located at 55 BROWN RD ITHACA, NY 14850 and the phone number is (607) 274-6604.

Registered Nurse with taxonomy code 163W00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.