Individual provider · Type 1 NPI

Jean Moore

Licensed Practical Nurse · Shreveport, LA

NPI number 1205374097 Active

Practice location

1440 Hawn Ave
Shreveport, LA 71107-6532

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X20160859 (LA)

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.

29 other providers at this address

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About NPI 1205374097

Jean Moore's National Provider Identifier is 1205374097, issued on Feb 1, 2017. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Shreveport, LA. The record was last updated on Feb 1, 2017.