Moore, Joanna Leigh
Moore, Joanna Leigh is an individual health care provider with primary practice located at 661 E Main St , Peru IN 46970-2662. 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, Joanna Leigh can be contacted via phone (765) 472-2519.Contact Information
Primary practice address
661 E Main St
Peru IN 46970-2662
Phone: (765) 472-2519
Fax: (765) 400-4465
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 28164395A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71009786A | Indiana |
Profile Details
| NPI number | 1326686395 |
|---|---|
| LBN Legal business name | Moore, Joanna Leigh |
| Credentials | FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 20th, 2019 |
| Last updated | Feb 8th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326686395 | NPPES |
| Indiana | MEDICAID | 300036259 |
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