| NPI | 1073500658 |
|---|---|
| Other Name | JEANNE MARIE CARNEY MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024168326) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R 152237-0) |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2009-09-16 |