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Individual

EMILY JEAN MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
825 E RUNDBERG LN, AUSTIN, TX 78753-4808
(512) 472-4357
(512) 703-1394
Mailing address
1430 COLLIER ST, AUSTIN, TX 78704-2911
(512) 472-4357
(512) 703-1394

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1058466
TX

Other

Enumeration date
11/30/2021
Last updated
11/30/2021
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