Individual
JENNIFER EVANS MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3349 US 1 HWY, VASS, NC 28394
(910) 245-7678
(910) 245-3251
Mailing address
3349 US 1 HWY, VASS, NC 28394
(910) 245-7678
(910) 245-3251
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5017869
NC
Other
Enumeration date
03/30/2023
Last updated
03/30/2023
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