Individual provider · Type 1 NPI
Jermaine A. Moore
Ambulatory Care Registered Nurse · Los Angeles, CA
NPI number
1316643976
Active
Practice location
12021 Wilmington Ave
Los Angeles, CA 90059-3019
Mailing address
1118 E 123rd St
Los Angeles, CA 90059-3206
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Care Registered Nurse Primary | 163WP2201X | 95220734 (CA) |
Ambulatory Care Registered Nurse: Definition to come...
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- Patricia Araceli Distefano, RNAmbulatory Care Registered Nurse Los Angeles, CA NPI 1023538626
- Maria G. LiraAmbulatory Care Registered Nurse Los Angeles, CA NPI 1023545993
- Maria Lemus Gonzalez, MSN, RN, CPHQAmbulatory Care Registered Nurse Los Angeles, CA NPI 1023704210
- Pamella Saldua FuentesAmbulatory Care Registered Nurse Los Angeles, CA NPI 1033632641
About NPI 1316643976
Jermaine A. Moore's National Provider Identifier is 1316643976, issued on Feb 6, 2023. The primary taxonomy on file is Ambulatory Care Registered Nurse (163WP2201X), and the practice location is in Los Angeles, CA. The record was last updated on Feb 6, 2023.