Jerry Moore is a licensed practical nurse in Springfield, MA. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. Jerry Moore NPI is 1033368790. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
417 LIBERTY ST
SPRINGFIELD, MA
ZIP 01104-736
Phone: (413) 747-0705
Fax: (413) 732-7075
The enumeration date for this NPI number is 9/17/2008 and was last updated on 9/17/2008.