Individual
MS. JENNIFER LAWSON MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
550 PEACHTREE ST NE, SUITE # 1185, ATLANTA, GA 30308-2212
(404) 223-0792
(404) 223-5815
Mailing address
1835 SAVOY DR, SUITE 300, ATLANTA, GA 30341-1072
(770) 496-9400
(770) 496-9495
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN144756
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
737542779
—
GA
Enumeration date
01/09/2006
Last updated
01/07/2022
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