person
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. You can also correspond with Jerry Moore SR. through the mailing address at 417 LIBERTY ST, SPRINGFIELD, MA - 01104-3736 (mailing address contact number: 413-747-0705).

Location: 417 Liberty St, Springfield, MA, 01104-3736
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
State
Zip
01104-3736
Phone Number
413-747-0705
Fax Number
413-732-7075
person
Provider Business Mailing Address Details
Address
417 Liberty St
City
State
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
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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