Individual
JENNIFER MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3204 RAASCH DR, NORFOLK, NE 68701-3455
(402) 370-4570
Mailing address
3204 RAASCH DR, NORFOLK, NE 68701-3455
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
71573
NE
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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