Individual
JENNIFER MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
7620 SW 5TH PL, GAINESVILLE, FL 32607-1572
(352) 514-0281
Mailing address
7620 SW 5TH PL, GAINESVILLE, FL 32607-1572
(352) 514-0281
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-30140
FL
Other
Enumeration date
11/07/2021
Last updated
11/07/2021
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