Moore, Jade

Moore, Jade is an sole proprietor health care provider with primary practice located at 1602A N Main St , Mountain Grove MO 65711-1010. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Moore, Jade can be contacted via phone (417) 269-2350.

Contact Information

Primary practice address
1602A N Main St Mountain Grove MO 65711-1010
Fax: (417) 269-2356
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2022016441 Missouri

Profile Details

NPI number 1528790532
LBN Legal business name Moore, Jade
Credentials APRN, FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2022
Last updated Feb 7th, 2024 - about 9 months 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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