JODI LYNN MOORE RN
NPI 1033606900
Registered Nurse - School in Rapid City, SD
Active since April 17, 2018
About Jodi Lynn Moore Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JODI LYNN MOORE RN (NPI 1033606900) is an individual school provider in Rapid City, South Dakota, licensed in South Dakota (R046845) and active in the NPI registry since April 2018.
NPPES Registry Identity
NPI1033606900
Entity TypeIndividualFemale
Primary Taxonomy163WS0200X
Provider Legal NameJODI LYNN MOORECredential: RN
Location Address410 E MONROE STRapid City, SD 57701-1424
Mailing Address410 E Monroe StRapid City, SD 57701-1424 · (605) 341-6448 · Fax (605) 341-2941
Phone(605) 341-6448
Fax(605) 341-2941
Sole ProprietorNo
Enumeration DateApril 17, 2018
✔ NPI 1033606900 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · SchoolNursing Service Providers
Taxonomy Code163WS0200X
License✔ Licensed in SD · R046845
410 E MONROE ST, Rapid City, SD 57701
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033606900, enumerated as an "individual" on April 17, 2018.
The provider is located at 410 E MONROE ST RAPID CITY, SD 57701 and the phone number is (605) 341-6448.
Registered Nurse with taxonomy code 163WS0200X and a focus in School.
