Individual
JENNIFER MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1010 CHRISTINE AVE, ANNISTON, AL 36207-5782
(256) 236-5631
(256) 624-9388
Mailing address
PO BOX 2127, ANNISTON, AL 36202-2127
(256) 236-5631
(256) 624-9388
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-112453
AL
Other
Enumeration date
11/24/2009
Last updated
06/11/2014
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