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Jacqueline Moore (FNP-C)

Mrs. Jacqueline Moore (FNP-C) is a health care provider specializes in Nurse Practitioner.

profile-icon Basic Information

Practice Location 314 Main St Ste D, Monticello, MS 39654-3702, US
Practice Location Phone601-587-4304
Practice Location Fax
GenderFemale
Specialty InNurse Practitioner
NPI ?1033611256
Entity TypeIndividual
Enumeration Date ? Mar 3, 2018
Last Update Date ? Jun 16, 2018
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Jacqueline Moore

SpecialtySpecializationLicenseLicense State
Registered Nurse 859952Mississippi
Nurse PractitionerFamily 902473Mississippi

legacy-id-icon Legacy Provider IDs of Jacqueline Moore

Provider IdIssuer StateIssuer TypeIssuer
902473MississippiOtherFNP LICENSE
902473MississippiMedicaid