Individual
CASEY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1697 KINGS RD STE 1, JACKSONVILLE, FL 32209-6169
(904) 478-5483
Mailing address
634 DYAL ST, JACKSONVILLE, FL 32206-3916
(904) 446-7854
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11018653
FL
Other
Enumeration date
03/11/2022
Last updated
05/21/2022
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