Individual
JESSICA LEE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3900 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4331
(904) 222-6656
Mailing address
1415 1ST ST N APT 1001, JACKSONVILLE BEACH, FL 32250-8309
(904) 899-2349
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11002259
FL
Other
Enumeration date
04/30/2019
Last updated
04/30/2019
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