Jennifer E Moore in Southaven - Nutrition, Renal
Jennifer E Moore - NPI 1023271962
Jennifer E Moore is a Nutrition, Renal in Southaven, Mississippi. Jennifer E Moore practices all healthcare services and medical treatments related to Nutrition, Renal. The NPI Number for Jennifer E Moore is 1023271962. The last update date is 2022-01-10.
Jennifer E Moore's current location address is 3870 Liscott Rd, Southaven, Mississippi. You can contact this provider via phone number 7025332259. The mailing address for Jennifer E Moore is 3870 Liscott Rd, Southaven, Mississippi. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jennifer E Moore |
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Address | 3870 Liscott Rd, Southaven, Mississippi |
Phone Number | 7025332259 |
Fax Number | |
Sole Proprietor | Y |
Credentials | MS, RDN, L |
NPI Number Detail
NPI Number | 1023271962 |
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Provider Enumeration Date | 2008-07-09 |
Last Updated Date | 2022-01-10 |
Provider Mailing Address Detail
Address | 3870 Liscott Rd |
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City | Southaven |
State | Mississippi (MS) |
Post Code | 386726780 |
Phone Number | 7025332259 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Nutrition, Renal |
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Taxonomy | 133Vn1005X |
Licence No | LDN000000108 |
Definition: An individual who is a Board Certified Specialist in Renal Nutrition and works directly with adult and/or pediatric patients with acute kidney injury, chronic kidney disease (CKD) stages 1-5, or receiving renal replacement therapies (dialysis/transpl |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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853 | MS | LICENSE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jennifer E Moore?
The Jennifer E Moore has been issued the NPI (National Provider Identifier) 1023271962 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Jennifer E Moore's facilities are situated?
The facilities of Jennifer E Moore are physically located at the following address: 3870 Liscott Rd, Southaven, MS, 386726780.
What is the Jennifer E Moore's specialty and taxonomy code?
The Jennifer E Moore's specialty is Nutrition, Renal, and the corresponding taxonomy code is 133Vn1005X.
On what date was the 1023271962 assigned to Jennifer E Moore?
The Jennifer E Moore was issued its 1023271962 on 2008-07-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Jennifer E Moore most recently updated or revised?
The information pertaining to Jennifer E Moore, including its address, specialty, and other relevant details, was last updated or revised on 2022-01-10.