Individual
JENNIFER MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2121 S 125TH EAST AVE STE 106, TULSA, OK 74129-5800
(191) 857-4844
Mailing address
2121 S 125TH EAST AVE STE 106, TULSA, OK 74129-5800
(191) 857-4844
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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