Individual
MRS. JESSICA FRANCES MOSES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
332 DEWEY ST, BENNINGTON, VT 05201-2225
(802) 442-6314
Mailing address
76 GRANDMA MOSES RD, EAGLE BRIDGE, NY 12057-2401
(518) 915-4696
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
101.0128475
VT
Other
Enumeration date
03/02/2017
Last updated
03/02/2017
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