Individual
MRS. JERI JUDITH MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
135629
IA
163WG0600X
Gerontology Registered Nurse
135629
IA
163WH0200X
Home Health Registered Nurse
135629
IA
163WW0000X
Wound Care Registered Nurse
135629
IA
Other
Enumeration date
01/24/2014
Last updated
01/24/2014
Update your record
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