Jordyn Bocook Gammon, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3011996 Issued in KY

Practice address

230 W Main St Ste 102
Danville, KY 40422

Phone

(859) 236-9670

NPI assigned

Jan 11, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Jordyn Renee Bocook Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fast Pace Kentucky, PLLC

  • Rural Health Clinic/Center
  • Bardstown, KY
  • NPI 1184381444
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1515628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1376051318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 WEBSTER RD",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404229068",
            "telephone_number": "606-706-1671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 W MAIN ST STE 102",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "40422",
            "telephone_number": "859-236-9670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 S 3rd St",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "KY",
            "postal_code": "404222016",
            "country_code": "US",
            "telephone_number": "859-236-7712",
            "fax_number": "859-236-7246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAMMON",
        "first_name": "JORDYN",
        "middle_name": "BOCOOK",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-11",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3011996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORDYN",
            "last_name": "BOCOOK",
            "middle_name": "RENEE",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joachim Franklin, MD
• G & R Staed, Inc
• G. Perry Majors, M.D., P.S.C.
• Angela R Gabbard
• Tracy F Galloway, M.A.
• Gastroenterology Associates of Central Ky PSC
• Jamey Gay, ATC, LAT
• Ayman A Geneidy, M.D.
• Genoa Healthcare LLC
• Gentle Dental Center

• Family Nurse Practitioner in Danville, KY
• Providers in Danville, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.