Individual provider · Type 1 NPI

Jill Moore, RN, CDE

Diabetes Educator Registered Nurse · Gaylord, MI

NPI number 1639589526 Active

Practice location

829 N Center Ave Ste 140
Gaylord, MI 49735-1598

Fax (989) 731-7833

Mailing address

850 N Otsego Ave, Suite 1
Gaylord, MI 49735-1568

Specialties and licenses

TaxonomyCodeLicense
Diabetes Educator Registered Nurse Primary 163WD0400X4704150144 (MI)

Diabetes Educator Registered Nurse: Definition to come...

2 other providers at this address

About NPI 1639589526

Jill Moore, RN, CDE's National Provider Identifier is 1639589526, issued on May 1, 2014. The primary taxonomy on file is Diabetes Educator Registered Nurse (163WD0400X), and the practice location is in Gaylord, MI. The record was last updated on May 1, 2014.