Individual provider · Type 1 NPI

Jennifer Moore

Licensed Practical Nurse · Macomb, MI

NPI number 1982084828 Active

Practice location

17379 Delaware Dr
Macomb, MI 48044-2623

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X4704257904 (MI)

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 1982084828

Jennifer Moore's National Provider Identifier is 1982084828, issued on Jun 5, 2015. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Macomb, MI. The record was last updated on Jun 5, 2015.