Moore, Jennifer Marie

Moore, Jennifer Marie is an individual health care provider with primary practice located at 516 E Nizhoni Blvd , Gallup NM 87301-5748. She recently has only one registered license in Nursing Service Providers / Medical-Surgical, which is considered as her primary health care specialty. Moore, Jennifer Marie can be contacted via phone (505) 722-1000.

Contact Information

Primary practice address
516 E Nizhoni Blvd Gallup NM 87301-5748
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Medical-Surgical 163WM0705X R51303 New Mexico

Profile Details

NPI number 1003016460
LBN Legal business name Moore, Jennifer Marie
Credentials RN, BSN
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2007
Last updated Mar 13th, 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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