NPI 1801880091

Jennifer Leigh Moore, CRNA

Practitioner Certified Registered Nurse Anesthetist Fpo, AE

Practice location

Address: Psc 827, Fpo, AE 09617
Phone: 011390814324
Mailing address: 1818 Roscoe Turner Trl, Port Orange, FL 32128-6838

Registered specialties (2)

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence ARNP9277203 (FL)

Other Nurse Anesthetist, Certified Registered providers in Armed Forces Europe →

Certified Registered Nurse Anesthetist

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence RNA36612 (RI)

Registry record

NPI: 1801880091
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Sep 2005
Record last updated: 10 Jul 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.