NPI 1306836986

Jennifer Frances Moon, AAC

Practitioner Anesthesiologist Assistant Greenville, SC

Practice location

Address: 701 Grove Rd, Greenville, SC 29605-4210
Phone: (864) 455-3076
Mailing address: 300 E McBee Ave Fl 4, Greenville, SC 29601-2842

Registered specialties

Anesthesiologist Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X Licence 3 (SC)

Other Anesthesiologist Assistant providers in South Carolina →

Registry record

NPI: 1306836986
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Oct 2005
Record last updated: 13 Jan 2022

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.