Individual provider · Type 1 NPI
Jordan Moore
Student in an Organized Health Care Education/Training Program · Hammond, LA
NPI number
1164980801
Active
Practice location
800 Galloway Drive
Hammond, LA 70402-0001
Mailing address
2139 Powerbrook Dr
Baton Rouge, LA 70816-2972
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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.
2 other providers at this address
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About NPI 1164980801
Jordan Moore's National Provider Identifier is 1164980801, issued on Mar 12, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Hammond, LA. The record was last updated on Mar 12, 2019.