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Individual
JAMIE RACHEL MOORE
Active
Individual
JAMIE RACHEL MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
650434
NY
207L00000X
Anesthesiology Physician
309740
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F309740
NY
Other
Enumeration date
05/28/2020
Last updated
02/19/2026
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