Moore, Joan M

Moore, Joan M is an individual health care provider with primary practice located at 305 Estill St Cpo 2174, Berea KY 40403-1742. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Moore, Joan M can be contacted via phone (859) 985-3212.

Contact Information

Primary practice address
305 Estill St Cpo 2174 Berea KY 40403-1742
Phone: (859) 985-3212
Fax: (859) 985-3910
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 1353P Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3001353 Kentucky

Profile Details

NPI number 1699980987
LBN Legal business name Moore, Joan M
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2007
Last updated Oct 28th, 2015 - about 11 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 1699980987 NPPES
Kentucky Other 1063917 RN LICENSE
Kentucky Other 1353P RN LICENSE

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