Individual provider · Type 1 NPI
Jefferson Wilburn Moore Jr., APN
Adult Health Nurse Practitioner · Batesville, AR
NPI number
1104128867
Active
Practice location
1710 Harrison St
Batesville, AR 72501-7303
Fax (870) 262-1336
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | ATP-000312 (AR) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1104128867
Jefferson Wilburn Moore Jr., APN's National Provider Identifier is 1104128867, issued on Nov 30, 2010. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Batesville, AR. The record was last updated on Nov 30, 2010.