Individual provider · Type 1 NPI
Amy Jo Moore
Gerontology Registered Nurse · Goshen, IN
NPI number
1295307510
Active
Practice location
1332 Waterford Cir
Goshen, IN 46526-6009
Mailing address
1222 E Beardsley Ave
Elkhart, IN 46514-3504
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Registered Nurse Primary | 163WG0600X | 28229536A (IN) |
Gerontology Registered Nurse: Definition to come...
4 other providers at this address
About NPI 1295307510
Amy Jo Moore's National Provider Identifier is 1295307510, issued on Jul 15, 2021. The primary taxonomy on file is Gerontology Registered Nurse (163WG0600X), and the practice location is in Goshen, IN. The record was last updated on Jul 15, 2021.