Individual
JADE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
1602A N MAIN ST, MOUNTAIN GROVE, MO 65711-1010
(417) 269-2350
(417) 269-2356
Mailing address
PO BOX 802843, KANSAS CITY, MO 64180-2843
(417) 730-6430
(417) 269-7567
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2022016441
MO
Other
Enumeration date
06/28/2022
Last updated
02/07/2024
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