NPI 1871875963
Jerra Pauline Moreland, BA
Practice location
- Address
- 118 N Sally Dr, Winamac, IN 46996-9100
- Phone
- (574) 946-4233
- Fax
- (574) 946-4365
- Mailing address
- 1015 Michigan Ave, Logansport, IN 46947-1526
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1871875963
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 14 Sep 2011
- Record last updated
- 14 Sep 2011
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.