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
| Taxonomy | Code | License |
|---|---|---|
| Diabetes Educator Registered Nurse Primary | 163WD0400X | 4704150144 (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.