JENNIFER MOORE
NPI 1982084828
Licensed Practical Nurse in Macomb, MI

Q: What is Jennifer Moore's NPI number?

The NPI number for Jennifer Moore is 1982084828. It was assigned to this individual provider in the NPPES registry on June 5, 2015.

Q: What is Jennifer Moore's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Moore was last updated on June 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 05, 2015

17379 DELAWARE DR, MACOMB, MI 48044(586) 263-5763 Get Directions Write a Review

NPPES record last updated: June 5, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jennifer Moore NPPES

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

JENNIFER MOORE (NPI 1982084828) is an individual licensed practical nurse in Macomb, Michigan, licensed in Michigan (4704257904) and active in the NPI registry since June 2015.

NPPES Registry Identity

NPI1982084828

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameJENNIFER MOORE

Location Address17379 DELAWARE DRMacomb, MI 48044-2623

Mailing Address17379 Delaware DrMacomb, MI 48044-2623 · (586) 263-5763

Phone(586) 263-5763

Sole ProprietorYes

Enumeration DateJune 5, 2015

✔ NPI 1982084828 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 MI · 4704257904

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.

17379 DELAWARE DR, Macomb, MI 48044

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Moore's NPI number?

The NPI number for Jennifer Moore is 1982084828. It was assigned to this individual provider in the NPPES registry on June 5, 2015.

Where is Jennifer Moore located?

Jennifer Moore practices at 17379 Delaware Dr, Macomb, MI 48044. The listed phone number is (586) 263-5763.

What is Jennifer Moore's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Jennifer Moore was last updated on June 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.