Jillian Leigh Moore, RN
Nurse Anesthetist, Certified Registered in Tulsa, OK. Individual provider (NPI-1).
NPI number1497014682
StatusActive
Last updated in NPPESMar 11, 2021
Details
- NPI
- 1497014682
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jillian Leigh Moore
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 9, 2012
- Certification date
- Mar 11, 2021
- Last updated
- Mar 11, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 78700 | OK | Yes |
| 367500000X | Nurse Anesthetist, Certified Registered | 146822 | TX |
Other names
- Jillian Leigh Hudley (Former Name)
Practice location
6161 S Yale AveTulsa, OK 74136-1902
Phone 918-494-0612
Mailing address
6839 S Canton AveTulsa, OK 74136
Phone 918-494-0612 · Fax 918-392-4693
Other practice locations
4533 Cedar Springs Rd Apt F3
Dallas, TX 75219-1379
Dallas, TX 75219-1379
Phone 617-595-0913
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