Individual provider · Type 1 NPI

Jacob Evans Moore

Student in an Organized Health Care Education/Training Program · Huntsville, AL

NPI number 1730761107 Active

Practice location

8 Wadsworth Dr
Huntsville, AL 35808-1007

Call (503) 367-4706 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1730761107

Jacob Evans Moore's National Provider Identifier is 1730761107, issued on Apr 26, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Huntsville, AL. The record was last updated on Apr 26, 2021.