Individual
MS. PAULA JAYNE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.CNS
Contact information
Practice address
433 WEST ST STE 5, AMHERST, MA 01002-2936
(413) 570-0746
(413) 256-6476
Mailing address
785 WENDELL RD, SHUTESBURY, MA 01072-9733
(413) 570-0746
(413) 256-6476
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
142836
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1305263
—
MA
Enumeration date
11/15/2006
Last updated
01/11/2021
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