Jeanne I. Moore
Registered Nurse in Ellicott City, MD. Individual provider (NPI-1).
NPI number1972899367
StatusActive
Last updated in NPPESJun 23, 2011
Details
- NPI
- 1972899367
- Entity type
- Individual (NPI-1)
- Name
- Ms. Jeanne I. Moore
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 23, 2011
- Last updated
- Jun 23, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | R102368 | MD | Yes |
Practice location
3137 Sonia TrlEllicott City, MD 21043-3276
Phone 410-465-2048
Mailing address
3137 Sonia TrlEllicott City, MD 21043-3276
Phone 410-465-2048
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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.
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