Individual
JESSICA KAY MOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1733 LAKELAND HILLS BLVD, LAKELAND, FL 33805-3016
(863) 688-1528
(863) 688-8423
Mailing address
PO BOX 748817, ATLANTA, GA 30374-8817
(813) 286-0033
(813) 282-1806
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
APRN11006081
FL
367A00000X
Advanced Practice Midwife
Primary
APRN11006081
FL
Other
Enumeration date
11/02/2020
Last updated
01/26/2024
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