Jennifer L Moes in Immokalee - Psychiatric/mental Health
Jennifer L Moes - NPI 1720018211
Jennifer L Moes is a Psychiatric/mental Health in Immokalee, Florida. Jennifer L Moes practices all healthcare services and medical treatments related to Psychiatric/mental Health. The NPI Number for Jennifer L Moes is 1720018211. The last update date is 2022-07-21.
Jennifer L Moes's current location address is 1454 Madison Ave W, Immokalee, Florida. You can contact this provider via phone number 2396583707. The mailing address for Jennifer L Moes is 1454 Madison Ave W, Immokalee, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer L Moes |
|---|---|
| Address | 1454 Madison Ave W, Immokalee, Florida |
| Phone Number | 2396583707 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | APRN |
NPI Number Detail
| NPI Number | 1720018211 |
|---|---|
| Provider Enumeration Date | 2006-07-03 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 1454 Madison Ave W |
|---|---|
| City | Immokalee |
| State | Florida (FL) |
| Post Code | 3414222000 |
| Phone Number | 2396583707 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric/mental Health |
|---|---|
| Taxonomy | 363Lp0808X |
| Licence No | ARNP9461847 |
|
Definition: An advanced practice registered nurse expert in providing psychiatric and mental healthcare services. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 23011900 | FL | -- |
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What is the Jennifer L Moes's unique identification number?
The Jennifer L Moes has been assigned the NPI (National Provider Identifier) Number 1720018211 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Jennifer L Moes's physical address?
The Jennifer L Moes is physically located at 1454 Madison Ave W, in the city of Immokalee, FL, with the postal code 3414222000.
What is the Jennifer L Moes's specialty and taxonomy code?
The Jennifer L Moes's specialty is Psychiatric/mental Health, and the corresponding taxonomy code is 363Lp0808X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1720018211 to Jennifer L Moes?
The Centers for Medicare & Medicaid Services originally issued the 1720018211 to Jennifer L Moes on 2006-07-03.
As of what date were the details related to Jennifer L Moes most recently updated or revised?
The information pertaining to Jennifer L Moes, including its address, specialty, and other relevant details, was last updated or revised on 2022-07-21.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH