Pennie Jo Moore in Stout - Licensed Practical Nurse
Pennie Jo Moore - NPI 1396919171
Pennie Jo Moore is a Licensed Practical Nurse in Stout, Ohio. Pennie Jo Moore practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Pennie Jo Moore is 1396919171. The last update date is 2008-04-14.
Pennie Jo Moore's current location address is 9813 Us Highway 52, Stout, Ohio. You can contact this provider via phone number 7408586085. The mailing address for Pennie Jo Moore is 9813 Us Highway 52, Stout, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Pennie Jo Moore |
|---|---|
| Address | 9813 Us Highway 52, Stout, Ohio |
| Phone Number | 7408586085 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LPN |
NPI Number Detail
| NPI Number | 1396919171 |
|---|---|
| Provider Enumeration Date | 2008-04-14 |
| Last Updated Date | 2008-04-14 |
Provider Mailing Address Detail
| Address | 9813 Us Highway 52 |
|---|---|
| City | Stout |
| State | Ohio (OH) |
| Post Code | 456849066 |
| Phone Number | 7408586085 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | PN109368 |
|
Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2309586 | OH | -- |
Post Comment/ Review Below
What is the Pennie Jo Moore's 1396919171?
The Pennie Jo Moore's NPI (National Provider Identifier) Number is 1396919171. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Pennie Jo Moore is geographically located?
The Pennie Jo Moore is physically situated at the following location: 9813 Us Highway 52, Stout, OH, 456849066.
What is Pennie Jo Moore's area of expertise and its corresponding taxonomy classification?
The Pennie Jo Moore's field of specialization is Licensed Practical Nurse, and it falls under the taxonomy code 164W00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1396919171 to Pennie Jo Moore?
The Centers for Medicare & Medicaid Services originally issued the 1396919171 to Pennie Jo Moore on 2008-04-14.
As of what date was the information regarding Pennie Jo Moore, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Pennie Jo Moore, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-04-14.
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