Phiara Jabri Moore, RNC
Registered Nurse, Psych/Mental Health in Summerville, SC. Individual provider (NPI-1).
NPI number1144912759
StatusActive
Last updated in NPPESMay 23, 2023
Details
- NPI
- 1144912759
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Phiara Jabri Moore
- Credential
- RNC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 23, 2023
- Certification date
- May 23, 2023
- Last updated
- May 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WP0808X | Registered Nurse, Psych/Mental Health | 254207 | SC | Yes |
| 163WM0102X | Registered Nurse, Maternal Newborn | 254207 | SC |
Practice location
205 Country Gate LnSummerville, SC 29485-9204
Phone 908-644-8100
Mailing address
205 Country Gate LnSummerville, SC 29485-9204
Phone 908-644-8100
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