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NPI Code Detail

MEDICARE: MS. JENNIFER LAWSON MOORE MSN

MEDICARE:  MS. JENNIFER LAWSON MOORE  MSN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerRN144756GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871571869
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JENNIFER LAWSON MOORE MSN
Provider Business Mailing Address
First Line : 1835 SAVOY DR
Second Line : SUITE 300
City : ATLANTA
State : GA
Zip : 30341-1072
Country : US
Telephone Number : 770-496-9400
Fax Number : 770-496-9495
Provider Business Practice Location Address
First Line : 550 PEACHTREE ST NE
Second Line : SUITE # 1185
City : ATLANTA
State : GA
Zip : 30308-2212
Country : US
Telephone Number : 404-223-0792
Fax Number : 404-223-5815
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2006
Last Update Date : 01/07/2022

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Directions to “ MS. JENNIFER LAWSON MOORE MSN” Practice Location

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