Moore, Elizabeth Ann

Moore, Elizabeth Ann is an individual health care provider with primary practice located at 1348 S 18Th St Ste 340 , Fernandina Beach FL 32034. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Moore, Elizabeth Ann can be contacted via phone (904) 775-5957.

Contact Information

Primary practice address
1348 S 18Th St Ste 340 Fernandina Beach FL 32034
Phone: (904) 775-5957
Fax: (904) 390-7387
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 9455814 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 53-75887-112 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9455814 Florida

Profile Details

NPI number 1366789471
LBN Legal business name Moore, Elizabeth Ann
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2013
Last updated Sep 16th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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