Individual
MS. JENNIFER LOUISE MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2431 6TH AVE, TROY, NY 12180-2227
(518) 274-2607
Mailing address
2431 6TH AVE, TROY, NY 12180-2227
(518) 274-2607
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
533988
NY
Other
Enumeration date
01/19/2017
Last updated
01/19/2017
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