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Individual

MS. JESSICA ELAINE MOORE-SCHEELER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
4743 ARAPAHOE AVE, SUITE 102, BOULDER, CO 80303-1123
(303) 449-3642
(303) 440-7299
Mailing address
4743 ARAPAHOE AVE, SUITE 102, BOULDER, CO 80303-1123
(303) 449-3642
(303) 440-7299

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9103710
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1972561439
VA
Enumeration date
03/07/2007
Last updated
07/26/2016
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