NPI 1053571877
Jessica Carlotta Moore
Practice location
- Address
- 511 Stonewall Sq Suite 8, Jacksonville, AR 72076
- Phone
- (501) 982-0518
- Fax
- (501) 985-2220
- Mailing address
- PO Box 251970, Little Rock, AR 72225-1970
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1053571877
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 16 Jun 2008
- Record last updated
- 16 Jun 2008
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.