Individual
JESSICA LEE MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, RN
Contact information
Practice address
813 OAK ST, RENO, PA 16343-1039
(814) 516-3286
Mailing address
PO BOX 104, RENO, PA 16343-0104
(814) 516-3286
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP027082
PA
Other
Enumeration date
03/10/2023
Last updated
03/10/2023
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