Individual
JONATHAN ALLEN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3690 GRANDVIEW PKWY, BIRMINGHAM, AL 35243-3326
(205) 971-1000
Mailing address
1200 CRESTHILL RD, BIRMINGHAM, AL 35213-1104
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-203015
AL
Other
Enumeration date
04/30/2026
Last updated
04/30/2026
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