Individual
MS. JONETTE RAE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
13000 BRUCE B DOWNS BLVD, JAMES A. HALEY VA, TAMPA, FL 33612-4745
(813) 631-7123
(813) 631-7128
Mailing address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(813) 631-7123
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP2226382
FL
Other
Enumeration date
02/17/2006
Last updated
07/17/2007
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