Individual
JENNIFER MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
177 SCOTT RD, CUMBERLAND, RI 02864-2812
(203) 522-1028
Mailing address
177 SCOTT RD, CUMBERLAND, RI 02864-2812
(203) 522-1028
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RNRE10200240
MA
Other
Enumeration date
05/08/2026
Last updated
05/08/2026
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