Individual
JENNIFER ANN MOOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
101 7TH ST NW, WAUKON, IA 52172-1531
(563) 217-9439
(563) 568-3966
Mailing address
101 7TH ST NW, WAUKON, IA 52172-1531
(563) 217-9439
(563) 568-3966
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
IA
Other
Enumeration date
10/09/2025
Last updated
10/15/2025
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