Individual
MRS. JESSICA LEE ELDRIDGE-MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, AGNP-BC
Contact information
Practice address
7705 15TH AVE NW, BRADENTON, FL 34209-1014
(941) 725-1519
Mailing address
7705 15TH AVE NW, BRADENTON, FL 34209-1014
(941) 725-1519
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11005161
FL
Other
Enumeration date
11/25/2019
Last updated
11/25/2019
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