Individual
JENNIFER MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
830 EZZARD CHARLES DR, CINCINNATI, OH 45214-2525
(513) 381-6672
Mailing address
8561 NORTHPORT DR, CINCINNATI, OH 45255-3274
(513) 419-9392
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.504987
OH
Other
Enumeration date
03/09/2022
Last updated
03/30/2022
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