Individual provider · Type 1 NPI
Roberta Elaine Moore, APRN
Adult Health Nurse Practitioner · Jacksonville, FL
NPI number
1558698159
Active
Practice location
4266 Sunbeam Rd
Jacksonville, FL 32257-2425
Fax (904) 407-6001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | APRN9300940 (FL) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1558698159
Roberta Elaine Moore, APRN's National Provider Identifier is 1558698159, issued on Nov 3, 2009. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Jacksonville, FL. The record was last updated on Mar 20, 2019.