Individual provider · Type 1 NPI

Mary Jane Moore, CRNP

Family Nurse Practitioner · Birmingham, AL

NPI number 1003943796 Active

Practice location

700 19th St S
Birmingham, AL 35233-1927

Mailing address

4405 S Shades Crest Rd
Bessemer, AL 35022

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X1-026106 (AL)

Family Nurse Practitioner: Definition to come...

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About NPI 1003943796

Mary Jane Moore, CRNP's National Provider Identifier is 1003943796, issued on Feb 28, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Birmingham, AL. The record was last updated on Jul 8, 2007.