NPI 1578589263

Jennifer Rebecca Moore, ATCMED

Practitioner Athletic Trainer Oxford, MS

Practice location

Address: 1190 S 18th Street Ext, Oxford, MS 38655-5378
Phone: (662) 234-0424
Fax: (662) 234-0485
Mailing address: 181 Highway 334, Oxford, MS 38655-9402

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT0115 (MS)

Other Specialist/Technologist providers in Mississippi →

Registry record

NPI: 1578589263
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Jul 2006
Record last updated: 8 Jul 2007

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.