NPI 1407602642

Jacqueline Denise Moss

Practitioner Prosthetist Moore, OK

Practice location

Address: 2100 N Eastern Ave STE 8ee, Moore, OK 73160-5683
Phone: (802) 393-8007
Mailing address: 2100 N Eastern Ave STE 8, Moore, OK 73160-5684

Registered specialties (3)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

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Orthotic Fitter

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225000000X

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Prosthetics Case Management

Other Service Providers Taxonomy 1744P3200X

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Registry record

NPI: 1407602642
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Apr 2024
Record last updated: 29 Apr 2024

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.