Individual
JENNIFER LYNN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 COLLIERS WAY, WEIRTON, WV 26062-5014
(304) 797-6000
Mailing address
925 LOGAN AVE, TORONTO, OH 43964-1107
(724) 745-6100
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
124775
WV
363LG0600X
Gerontology Nurse Practitioner
SP034076
PA
Other
Enumeration date
10/06/2025
Last updated
02/26/2026
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