Individual
MRS. PHIARA JABRI MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNC
Contact information
Practice address
205 COUNTRY GATE LN, SUMMERVILLE, SC 29485-9204
(908) 644-8100
Mailing address
205 COUNTRY GATE LN, SUMMERVILLE, SC 29485-9204
(908) 644-8100
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
254207
SC
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
254207
SC
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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