Individual provider · Type 1 NPI

Jeremiah Jerrod Moore

Student in an Organized Health Care Education/Training Program · Greenville, NC

NPI number 1093533895 Active

Practice location

2606 Crockett Dr
Greenville, NC 27858-6811

Call (252) 214-1365 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1093533895

Jeremiah Jerrod Moore's National Provider Identifier is 1093533895, issued on Sep 30, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Greenville, NC. The record was last updated on Oct 3, 2024.