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Jeanne Moore, NP
Family Nurse Practitioner in Woodbridge, Virginia
NPI 1073500658

Jeanne Moore is a Family Nurse Practitioner based in Woodbridge, VA and is specialized in Family. Jeanne Moore practices in Woodbridge, VA and has the professional credentials of NP. The NPI Number for Jeanne Moore is 1073500658 and holds a License No. R 152237-0 (Virginia).

The current practice location address for Jeanne Moore is 2200 Tacketts Mill Dr, Woodbridge, VA and can be reached out via phone at 703-494-4961.

Location: 2200 Tacketts Mill Dr, Woodbridge, VA, 22192-3012
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073500658
Provider Name
Jeanne Moore
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
2200 Tacketts Mill Dr, Woodbridge, VA, 22192-3012
Phone Number
703-494-4961
Fax Number
Provider Enumeration Date
09/29/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
23218 01 SIOUX VALLEY HEALTH PLAN
984639500 05 MN
1651881 01 AMERICA'S PPO
141044 01 MN UCARE MINNESOTA
500020824 01 PALMETTO GBA RAILROAD MCR
01-07324 01 MEDICA
062J3CA 01 MN BLUE CROSS BLUE SHIELD
NA2081029811 01 PREFERRED ONE
institution
Provider Business Practice Location Address Details
Address
2200 Tacketts Mill Dr
City
Woodbridge
State
Virginia
Zip
22192-3012
Phone Number
703-494-4961
Fax Number
person
Provider Business Mailing Address Details
Address
2200 Tacketts Mill Dr
City
Woodbridge
State
Virginia
Zip
22192-3012
Phone Number
703-494-4961
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
0024168326 (Virginia)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
R 152237-0 (Minnesota)
Definition
Definition to come...
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