Individual
JENNIFER MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
838 S MAYO TRL, PAINTSVILLE, KY 41240-1384
(606) 789-8749
(606) 789-2060
Mailing address
625 JAMES S. TRIMBLE BLVD, PAINTSVILLE, KY 41240
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3008637
KY
Other
Enumeration date
05/13/2014
Last updated
03/27/2025
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