Individual
JILL MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4653 E MAIN ST, WHITEHALL, OH 43213-3298
(614) 729-9682
Mailing address
4653 E MAIN ST, WHITEHALL, OH 43213-3298
(614) 729-9682
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.520355
OH
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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