Individual provider · Type 1 NPI

Jerry Moore Sr.

Licensed Practical Nurse · Springfield, MA

NPI number 1033368790 Active

Practice location

417 Liberty St
Springfield, MA 01104-3736

Call (413) 747-0705 Map

Fax (413) 732-7075

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X33527 (MA)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1033368790

Jerry Moore Sr.'s National Provider Identifier is 1033368790, issued on Sep 17, 2008. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Springfield, MA. The record was last updated on Sep 17, 2008.