Individual
JAMIE MOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
1279736
VA
363LN0000X
Neonatal Nurse Practitioner
Primary
1123554
TX
363LN0005X
Critical Care Neonatal Nurse Practitioner
0024185193
VA
Other
Enumeration date
06/16/2022
Last updated
08/03/2023
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