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Contact Information

JENNIFER D MOORE
500 N CHURCH ST
LAS CRUCES, NM88001-3440
 Phone: 575-318-2035
 Fax: 505-230-5420
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

In Home Supportive Care

253Z00000X
Indicates primary specialty

NPI Profile & details for JENNIFER D MOORE · (Female)

NPI # 1164308920
Status Active
Credentials
Entity Individual
Enumeration date 08/15/2025
Last updated 08/15/2025 - About 10 months ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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