Individual provider · Type 1 NPI
Jennifer D. Mora, NP
Family Nurse Practitioner · Portland, ME
NPI number
1164651261
Active
Practice location
22 Bramhall St
Portland, ME 04102
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | AP111064 (ME) |
Family Nurse Practitioner: Definition to come...
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About NPI 1164651261
Jennifer D. Mora, NP's National Provider Identifier is 1164651261, issued on Jul 9, 2009. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Portland, ME. The record was last updated on Dec 20, 2013.