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NPI Profile for JAMIE L MOORE in CLINTON, MO.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Gerontology |
363LG0600X | 50 | Nurse Practitioner |
| NPI Number | 1255808655 |
|
| Status | Active | |
| Credentials | AGNP | |
| Entity | Individual | |
| Enumeration date | 10/24/2018 | |
| Last updated | 05/21/2024 - About 2 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JAMIE L MOORE
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JAMIE L MOORE, AGNP