Individual
JEANNE SHAREE MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
101 W 8TH AVE, SPOKANE, WA 99204-2307
(509) 474-4599
(509) 474-4250
Mailing address
PO BOX 12229, WESTMINSTER, CA 92685-2229
(888) 432-2088
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
IP60068769
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9661109
—
WA
Enumeration date
02/24/2009
Last updated
12/16/2009
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