MS. LAREE PRUITT MOODY RN NPI 1609108372

NPI Information

NPI: 1609108372
Provider Name: MS. LAREE PRUITT MOODY, RN
Classification: Registered Nurse - 163WC0400X
Entity Type: Individual

Specialization: Case Management

Address:
910 N JEFFERSON ST
JACKSONVILLE, FL
ZIP 32209
Phone: (904) 360-7070
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MS. Laree Pruitt Moody, RN is a case management registered nurse in Jacksonville, FL. MS. Laree Pruitt Moody, RN NPI is 1609108372. 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:

910 N JEFFERSON ST
JACKSONVILLE, FL
ZIP 32209-810
Phone: (904) 360-7070
Fax: (904) 798-4559

The enumeration date for this NPI number is 2/5/2010 and was last updated on 2/5/2010.

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	163WC0400X	Registered Nurse	Case Management	RN9298774	FLORIDA	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: 11/14/2023

NPI Synchronization or Removal

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