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Jenna Marie Moore, LPN

Licensed Practical Nurse in Parkersburg, WV. Individual provider (NPI-1).

NPI number1982432407
StatusActive
Last updated in NPPESJul 25, 2024

Details

NPI
1982432407
Entity type
Individual (NPI-1)
Name
Jenna Marie Moore
Credential
LPN
Sex
Female
Sole proprietor
No
Enumeration date
Jul 25, 2024
Certification date
Jul 25, 2024
Last updated
Jul 25, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse145191OHYes

Other names

  • Jenna Marie Ross (Former Name)

Practice location

184 Holiday Hills Dr
Parkersburg, WV 26104-8006

Phone 304-491-4082

Mailing address

753 Glendale Rd Apt 2
Marietta, OH 45750-2249

Phone 740-538-9304

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