Provider Demographics
NPI:1003293499
Name:WORDEN, JASON
Entity type:Individual
Prefix:MR
First Name:JASON
Middle Name:
Last Name:WORDEN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 SCHAUM AVE
Mailing Address - Street 2:
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43701-4716
Mailing Address - Country:US
Mailing Address - Phone:575-202-4248
Mailing Address - Fax:
Practice Address - Street 1:425 SCHAUM AVE
Practice Address - Street 2:
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701-4716
Practice Address - Country:US
Practice Address - Phone:575-202-4248
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-05
Last Update Date:2015-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide