Individual provider · Type 1 NPI

Jennifer Marie Moore, RN, BSN

Medical-Surgical Registered Nurse · Gallup, NM

NPI number 1003016460 Active

Practice location

516 E Nizhoni Blvd
Gallup, NM 87301-5748

Mailing address

PO Box 1337
Gallup, NM 87305-1337

Specialties and licenses

TaxonomyCodeLicense
Medical-Surgical Registered Nurse Primary 163WM0705XR51303 (NM)

Medical-Surgical Registered Nurse: Definition to come...

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About NPI 1003016460

Jennifer Marie Moore, RN, BSN's National Provider Identifier is 1003016460, issued on Jul 23, 2007. The primary taxonomy on file is Medical-Surgical Registered Nurse (163WM0705X), and the practice location is in Gallup, NM. The record was last updated on Mar 13, 2014.