Individual
JASMINE ROSE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
810 W REID AVE STE 4, NORTH PLATTE, NE 69101-6582
(308) 534-0900
Mailing address
4233 N TRINITY RD, NORTH PLATTE, NE 69101-1375
(130) 853-0272
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
113696
NE
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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