Individual provider · Type 1 NPI
Jonathan Moore
Family Nurse Practitioner · Clarksburg, WV
NPI number
1447764907
Active
Practice location
1 Medical Ctr. Drive
Clarksburg, WV 26301
Mailing address
328 New St
Bridgeport, WV 26330-1417
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | APRN76344-FNP-BC (WV) |
Family Nurse Practitioner: Definition to come...
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About NPI 1447764907
Jonathan Moore's National Provider Identifier is 1447764907, issued on Nov 20, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Clarksburg, WV. The record was last updated on Nov 20, 2017.