Individual provider · Type 1 NPI

Jennetta Shimell Moore, LPN

Licensed Practical Nurse · Winston Salem, NC

NPI number 1629678271 Active

Practice location

3215 Old Vineyard Rd
Winston Salem, NC 27103-1411

Call (336) 354-9047 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X90648 (NC)

Licensed Practical 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. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1629678271

Jennetta Shimell Moore, LPN's National Provider Identifier is 1629678271, issued on Oct 31, 2020. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Winston Salem, NC. The record was last updated on Oct 31, 2020.