Individual
JEANNETTE COLLEEN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-BC
Contact information
Practice address
3687 VETERANS DR, FORT HARRISON, MT 59636-9703
(406) 447-7307
Mailing address
3687 VETERANS DR, FORT HARRISON, MT 59636-9703
(406) 447-7307
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024169200
VA
Other
Enumeration date
07/31/2012
Last updated
07/31/2012
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