Moore, Janice

Moore, Janice is an individual health care provider with primary practice located at 7201 Ranch Road 2222 Apt 3318, Austin TX 78730-3228. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Moore, Janice can be contacted via phone (512) 300-2455.

Contact Information

Primary practice address
7201 Ranch Road 2222 Apt 3318 Austin TX 78730-3228
Phone: (512) 300-2455
Fax: (512) 300-2454
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 238688 Texas
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 238688 Texas

Profile Details

NPI number 1447287925
LBN Legal business name Moore, Janice
Credentials Gerontological Nurse Practitioner (GNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Dec 4th, 2014 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1447287925 NPPES
Texas Other A008 WPS TRICARE PROVIDER#
Texas Other 8N7149 WPS TRICARE PROVIDER#
Texas MEDICAID 141123302 WPS TRICARE PROVIDER#

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