Individual
MS. JENNIFER LYNN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1001 LAKESIDE AVE E STE 1001, CLEVELAND, OH 44114-1158
(330) 452-9911
Mailing address
1001 LAKESIDE AVE E STE 1001, CLEVELAND, OH 44114-1158
(330) 575-8493
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11690-NP
OH
Other
Enumeration date
11/04/2010
Last updated
01/14/2022
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