| Doctor Name: | JENNIFER LYNN MOFFETT |
| NPI Number: | 1154747764 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | RN223843 |
| Business Practice Address: | 39 N 4th St Ripley, OH - 451671116 |
| Business Phone Number: | 9373921471 |
| Business Fax Number: | |
| Mailing Address: | 39 N 4th St, RIPLEY |
| State: | OH |
| Postal Code: | 451671116 |
| Phone Number: | 9373921471 |
| Fax Number: | |
| NPI Enumeration Date: | 03/07/2014 |
| NPI Last Update Date: | 03/07/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WG0000X |
| License Number: | RN223843 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | General Practice |
| Taxonomy Definition: | |