Individual
JENNIFER MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
6001 TARNHOUR CT, RALEIGH, NC 27612-6447
(321) 234-8177
Mailing address
6001 TARNHOUR CT, RALEIGH, NC 27612-6447
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
5020032
NC
363LF0000X
Family Nurse Practitioner
Primary
7719242-4405
UT
Other
Enumeration date
10/24/2018
Last updated
12/26/2025
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