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Individual

JASMINE MARIE MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3400 N 29TH AVE, HOLLYWOOD, FL 33020-1002
(954) 276-3400
Mailing address
2180 WILLIAM S. WHITE BUILDING, 303 E KEARSLEY STREET, FLINT, MI 48502-1950
(810) 762-3420

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704318940
MI
163W00000X
Registered Nurse
9475967
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9475967
FL

Other

Enumeration date
11/30/2021
Last updated
07/28/2022
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