Individual
JENNIFER MORA
Active
Individual
JENNIFER MORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
151809-30
WI
363LA2200X
Adult Health Nurse Practitioner
Primary
15414-33
WI
Other
Enumeration date
05/08/2024
Last updated
10/07/2024
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