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Contact Information

JENNIFER J MOORE, GC
7120 CLEARVISTA DR STE 5900
INDIANAPOLIS, IN46256-1714
 Phone: 317-621-5395
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Genetic Counselor, MS

170300000X
Indicates primary specialty

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

NPI Number 1760910699
Status Active
Credentials GC
Entity Individual
Enumeration date 05/23/2017
Last updated 06/04/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 74000181A
  • IN Medicaid 300008014
  • IN Other 74000181A INDIANA GENETIC COUNSELOR LICENSE
  • KS Other K02-66-8390 DRIVERS LICENSE
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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