Individual provider · Type 1 NPI
Jessica Ann Moon, NURSE
Licensed Practical Nurse · Newark, NY
NPI number
1033445846
Active
Practice location
439 E Union St, A
Newark, NY 14513-1609
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 290690-1 (NY) |
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 1033445846
Jessica Ann Moon, NURSE's National Provider Identifier is 1033445846, issued on Oct 29, 2009. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Newark, NY. The record was last updated on Oct 29, 2009.