Individual
ALEXANDRA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
655 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 244-0411
Mailing address
9436 PROSPERITY LAKE DR, JACKSONVILLE, FL 32244-8432
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11014786
FL
Other
Enumeration date
08/09/2021
Last updated
08/09/2021
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