Jennifer Moore, PA
Physician Assistant, Surgical in Temple Terrace, FL. Individual provider (NPI-1).
NPI number1790781052
StatusActive
Last updated in NPPESMar 31, 2011
Details
- NPI
- 1790781052
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Moore
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 22, 2005
- Last updated
- Mar 31, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | PA3401 | FL | Yes |
Practice location
13020 N Telecom PkwyTemple Terrace, FL 33637-0925
Phone 813-978-9700 · Fax 813-558-6187
Mailing address
13020 N Telecom PkwyTemple Terrace, FL 33637-0925
Phone 813-978-9700 · Fax 813-558-6187
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Surgical Physician Assistant providers in Temple Terrace, FL
- Victoria Allman, PA-CNPI 1659019388
- Hansel David Baez, PANPI 1508377219
- Emily Rose Burroughs, PA-CNPI 1174819411
- Georgina R Crago, PANPI 1003811944
- Jeffrey A Hamelin, PANPI 1841295805
- Susan R Heinrichs, PANPI 1922003839
- Leanne S Henderson, PANPI 1881668754
- Katherine Hicks, PA-CNPI 1225791031
- Anthony John Hudson, PANPI 1720369424
- Afshin Noori, PA-CNPI 1336146133
All 15 Surgical Physician Assistant providers in Temple Terrace · All 1,270 providers in Temple Terrace
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.