Doctor Name: | JENNIFER MARIE MOSES |
NPI Number: | 1245569243 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | ARNP9204617 |
Business Practice Address: | 30 Virginia Dr Tunkhannock, PA - 186571701 |
Business Phone Number: | 5708365166 |
Business Fax Number: | |
Mailing Address: | 30 Virginia Dr, TUNKHANNOCK |
State: | PA |
Postal Code: | 186571701 |
Phone Number: | 5708365166 |
Fax Number: | |
NPI Enumeration Date: | 12/22/2009 |
NPI Last Update Date: | 02/22/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SA2200X |
License Number: | ARNP9204617 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |