JENNIFER MARIE MOORE RN BSN NPI 1003016460

NPI Information

NPI: 1003016460
Provider Name: JENNIFER MARIE MOORE, RN, BSN
Classification: Registered Nurse - 163WM0705X
Entity Type: Individual

Specialization: Medical-Surgical

Address:
516 E NIZHONI BLVD
GALLUP, NM
ZIP 87301
Phone: (505) 722-1000
Get Directions

Jennifer Marie Moore, RN, BSN is a medical-surgical registered nurse in Gallup, NM. Jennifer Marie Moore, RN, BSN NPI is 1003016460. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

516 E NIZHONI BLVD
GALLUP, NM
ZIP 87301-748
Phone: (505) 722-1000

The enumeration date for this NPI number is 7/23/2007 and was last updated on 3/13/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WM0705X	Registered Nurse	Medical-Surgical	R51303	NEW MEXICO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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