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JENNIFER R MOE NPI 1760643621


NPI Information

NPI: 1760643621
Provider Name: JENNIFER R MOE
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
3449 E REZANOF DR
KODIAK, AK
ZIP 99615
Phone: (907) 486-9870
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Jennifer R Moe is a general practice in Kodiak, AK. Jennifer R Moe NPI is 1760643621. 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:

3449 E REZANOF DR
KODIAK, AK
ZIP 99615-952
Phone: (907) 486-9870
Fax: (907) 486-9898

The enumeration date for this NPI number is 6/23/2008 and was last updated on 6/23/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral Practice02537ALASKAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.