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Jacob W Moore JR., NP
Adult Health Nurse Practitioner in Honolulu, Hawaii
NPI 1023165610

Jacob W Moore JR. is an Adult Health Nurse Practitioner based in Honolulu, HI and is specialized in Adult Health. Jacob W Moore JR. practices in Honolulu, HI and has the professional credentials of NP. The NPI Number for Jacob W Moore JR. is 1023165610 and holds a License No. APRN-558 (Hawaii).

The current practice location address for Jacob W Moore JR. is 550 S Beretania St Ste 601, Honolulu, HI and can be reached out via phone at 808-691-8877 and via fax at 808-691-8875.

Location: 550 S Beretania St Ste 601, Honolulu, HI, 96813-2423
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Provider Profile Details
NPI Number
1023165610
Provider Name
Jacob W Moore JR.
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
550 S Beretania St Ste 601, Honolulu, HI, 96813-2423
Phone Number
808-691-8877
Fax Number
808-691-8875
Provider Enumeration Date
01/04/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
55115201 05 HI
0000245274 01 HI HMSA BILLING NUMBER
institution
Provider Business Practice Location Address Details
Address
550 S Beretania St Ste 601
City
State
Zip
96813-2423
Phone Number
808-691-8877
Fax Number
808-691-8875
person
Provider Business Mailing Address Details
Address
550 S Beretania St Ste 601
City
State
Zip
96813-2423
Phone Number
808-691-8877
Fax Number
808-691-8875
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
APRN-558 (Hawaii)
Definition
Definition to come...
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