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Individual
JEANETTE D MOORE
Active
Individual
JEANETTE D MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
AP2797
AZ
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
AP2797
AZ
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
NPF8880
CA
Other
Enumeration date
11/01/2006
Last updated
09/16/2026
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