Moore, Jennifer Lawson

Moore, Jennifer Lawson is an individual health care provider with primary practice located at 550 Peachtree St Ne Suite # 1185, Atlanta GA 30308-2212. 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, Jennifer Lawson can be contacted via phone (404) 223-0792.

Contact Information

Primary practice address
550 Peachtree St Ne Suite # 1185 Atlanta GA 30308-2212
Phone: (404) 223-0792
Fax: (404) 223-5815
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN144756 Georgia

Profile Details

NPI number 1871571869
LBN Legal business name Moore, Jennifer Lawson
Credentials Master of Science in Nursing (MSN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2006
Last updated Jan 7th, 2022 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871571869 NPPES
Georgia MEDICAID 737542779

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