Individual
JO-ANN M MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, ANP-C
Contact information
Practice address
65 EDDIE DOWLING HWY, NORTH SMITHFIELD, RI 02896-7305
(401) 597-5353
(401) 769-4555
Mailing address
1681 CRANSTON ST STE D, CRANSTON, RI 02920-5000
(401) 946-8446
(401) 946-8340
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN01013
RI
363LA2200X
Adult Health Nurse Practitioner
NPP37578
RI
Other
Enumeration date
09/24/2010
Last updated
01/30/2021
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