Moore, Jennifer Marie

Moore, Jennifer Marie is an individual health care provider with primary practice located at 1110 Kildaire Farm Rd , Cary NC 27511-4523. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Moore, Jennifer Marie can be contacted via phone (919) 481-0277.

Contact Information

Primary practice address
1110 Kildaire Farm Rd Cary NC 27511-4523
Phone: (919) 481-0277
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 010268-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 001002915 North Carolina

Profile Details

NPI number 1588623367
LBN Legal business name Moore, Jennifer Marie
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Aug 26th, 2022 - about 2 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 1588623367 NPPES
New York MEDICAID 02670611
New York Other P00204701
New York Other CC8362

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