Individual
JENITRE SHAVONNE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5885 EDENFIELD RD APT L32, JACKSONVILLE, FL 32277-1203
(912) 980-7461
Mailing address
5885 EDENFIELD RD APT L32, JACKSONVILLE, FL 32277-1203
(912) 980-7461
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9316340
FL
Other
Enumeration date
02/03/2018
Last updated
02/03/2018
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