Moore, Janice Marie
Moore, Janice Marie is an individual health care provider with primary practice located at 9205 Stanton L Young Blvd, Wp2430 , Oklahoma City OK 73104-3251. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Moore, Janice Marie can be contacted via phone (405) 271-7449.Contact Information
Primary practice address
9205 Stanton L Young Blvd, Wp2430
Oklahoma City OK 73104-3251
Phone: (405) 271-7449
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | N3097006 | Oklahoma |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | R0053173 | Oklahoma |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 2013042559 | Missouri |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 536444 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | AP125297 | Texas |
Profile Details
| NPI number | 1588653307 |
|---|---|
| LBN Legal business name | Moore, Janice Marie |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 14th, 2005 |
| Last updated | May 25th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588653307 | NPPES |
| Oklahoma | MEDICAID | 100180710A |
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