Individual
JESSICA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
10421 WELLINGTON MANOR AVE, LAS VEGAS, NV 89129-4502
(702) 883-6278
Mailing address
10421 WELLINGTON MANOR AVE, LAS VEGAS, NV 89129-4502
(702) 883-6278
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
872420
NV
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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