Individual
MS. JESSICA CARLOTTA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
511 STONEWALL SQ, SUITE 8, JACKSONVILLE, AR 72076
(501) 982-0518
(501) 985-2220
Mailing address
PO BOX 251970, LITTLE ROCK, AR 72225-1970
(501) 666-8686
(501) 660-8630
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/16/2008
Last updated
06/16/2008
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