Individual provider · Type 1 NPI

Jacob Ryan Moore

Licensed Vocational Nurse · Fair Oaks, CA

NPI number 1346008844 Active

Practice location

10821 Fair Oaks Blvd
Fair Oaks, CA 95628-7214

Call (916) 903-7028 Map

Mailing address

2609 K St Apt 11
Sacramento, CA 95816-5112

Specialties and licenses

Taxonomy	Code	License
Licensed Vocational Nurse Primary	164X00000X	722770 (CA)

Licensed Vocational 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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job re…

2 other providers at this address

Other licensed vocational nurse providers in Fair Oaks

See all in Fair Oaks →

About NPI 1346008844

Jacob Ryan Moore's National Provider Identifier is 1346008844, issued on Mar 8, 2024. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Fair Oaks, CA. The record was last updated on Mar 8, 2024.