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Jerry Moore SR.
Licensed Practical Nurse in Springfield, Massachusetts
NPI 1033368790

Jerry Moore SR. is a Licensed Practical Nurse based in Springfield, MA. Jerry Moore SR. practices in Springfield, MA. The NPI Number for Jerry Moore SR. is 1033368790 and holds a License No. 33527 (Massachusetts).

The current practice location address for Jerry Moore SR. is 417 Liberty St, Springfield, MA and can be reached out via phone at 413-747-0705 and via fax at 413-732-7075.

Location: 417 Liberty St, Springfield, MA, 01104-3736
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033368790
Provider Name
Jerry Moore SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
417 Liberty St, Springfield, MA, 01104-3736
Phone Number
413-747-0705
Fax Number
413-732-7075
Provider Enumeration Date
09/17/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
417 Liberty St
City
Springfield
State
Massachusetts
Zip
01104-3736
Phone Number
413-747-0705
Fax Number
413-732-7075
person
Provider Business Mailing Address Details
Address
417 Liberty St
City
Springfield
State
Massachusetts
Zip
01104-3736
Phone Number
413-747-0705
Fax Number
413-732-7075
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
33527 (Massachusetts)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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