NPI 1447764907

Jonathan Moore

Practitioner Family Nurse Practitioner Clarksburg, WV

Practice location

Address: 1 Medical Ctr. Drive, Clarksburg, WV 26301
Phone: (304) 623-3461
Mailing address: 328 New St, Bridgeport, WV 26330-1417

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence APRN76344-FNP-BC (WV)

Other Nurse Practitioner providers in West Virginia →

Registry record

NPI: 1447764907
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Nov 2017
Record last updated: 20 Nov 2017

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.