Individual provider · Type 1 NPI

Laree Pruitt Moody, RN

Case Management Registered Nurse · Jacksonville, FL

NPI number 1609108372 Active

Practice location

910 N Jefferson St
Jacksonville, FL 32209-6810

Fax (904) 798-4559

Specialties and licenses

TaxonomyCodeLicense
Case Management Registered Nurse Primary 163WC0400XRN9298774 (FL)

Case Management Registered Nurse: Definition to come...

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About NPI 1609108372

Laree Pruitt Moody, RN's National Provider Identifier is 1609108372, issued on Feb 5, 2010. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in Jacksonville, FL. The record was last updated on Feb 5, 2010.