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Individual

BONNIE JO MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
1001 BROCKS GAP PKWY STE 101, HOOVER, AL 35244-4028
(205) 421-1032
Mailing address
1001 BROCKS GAP PKWY STE 101, HOOVER, AL 35244-4028

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP006263B
PA
363LF0000X
Family Nurse Practitioner
Primary
1-138378
AL

Other

Enumeration date
07/10/2006
Last updated
05/04/2021
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