Individual
MRS. JENNIFER R MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
706 NW 20TH AVE, BATTLE GROUND, WA 98604-4694
(503) 730-3066
Mailing address
706 NW 20TH AVE, BATTLE GROUND, WA 98604-4694
(503) 730-3066
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
202207652RN
OR
163W00000X
Registered Nurse
Primary
RN60999952
WA
Other
Enumeration date
06/26/2022
Last updated
06/26/2022
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