NPI 1003016460
Jennifer Marie Moore, RNBSN
Practice location
- Address
- 516 E Nizhoni Blvd, Gallup, NM 87301-5748
- Phone
- (505) 722-1000
- Mailing address
- PO Box 1337, Gallup, NM 87305-1337
Registered specialties
Medical-Surgical Registered Nurse
Primary
Registry record
- NPI
- 1003016460
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 23 Jul 2007
- Record last updated
- 13 Mar 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.