Individual
JANE L MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5500 E PEAKVIEW AVE, CENTENNIAL, CO 80121
(973) 661-8300
(973) 661-8333
Mailing address
13204 W UTAH CIR, LAKEWOOD, CO 80228-4228
(303) 986-3495
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10158
CO
363LF0000X
Family Nurse Practitioner
118138
MO
Other
Enumeration date
06/16/2006
Last updated
07/31/2019
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