Individual
JENNIFER MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
114 S CHESTNUT ST, NORTH PLATTE, NE 69101-4060
(308) 532-4860
Mailing address
110 N BAILEY AVE, NORTH PLATTE, NE 69101-5436
(308) 534-6029
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/04/2021
Last updated
10/04/2021
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