Individual provider · Type 1 NPI

Connie Jo Moore

Registered Nurse · Fairbanks, AK

NPI number 1942563663 Active

Practice location

1717 W. Cowles Street
Fairbanks, AK 99701

Call (907) 451-6682 Map

Mailing address

PO Box 83993
Fairbanks, AK 99708-3993

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X22219 (AK)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1942563663

Connie Jo Moore's National Provider Identifier is 1942563663, issued on Jun 18, 2012. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Fairbanks, AK. The record was last updated on Nov 28, 2012.