JALIA MOORE - NPI 1861289399 - Licensed Practical Nurse in Syracuse, NY

Q: What is the provider's specialty?

The provider's specialty is Licensed Practical Nurse with taxonomy code 164W00000X.

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About Jalia Moore NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JALIA MOORE (NPI 1861289399) is an individual licensed practical nurse in Syracuse, New York, licensed in New York (347643) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1861289399

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameJALIA MOORE

Location Address507 HAWLEY AVESyracuse, NY 13203-2411

Mailing Address507 Hawley AveSyracuse, NY 13203-2411 · (512) 915-3087

Phone(512) 915-3087

Sole ProprietorYes

Enumeration DateApril 21, 2025

NPPES CertifiedApril 20, 2025

✔ NPI 1861289399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in NY · 347643

Definition

A licensed practical nurse 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 responsibilities vary among the states.

507 HAWLEY AVE, Syracuse, NY 13203

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Frequently Asked Questions

What is Jalia Moore's NPI number?

The NPI number assigned to this healthcare provider is 1861289399, enumerated as an "individual" on April 21, 2025.

Where is the provider located?

The provider is located at 507 HAWLEY AVE SYRACUSE, NY 13203 and the phone number is (512) 915-3087.

What is the provider's specialty?

Licensed Practical Nurse with taxonomy code 164W00000X.