person
Jill M Moore, FNP-BC
Family Nurse Practitioner in Vassar, Michigan
NPI 1104811215

Jill M Moore is a Family Nurse Practitioner based in Tawas City, MI and is specialized in Family. Jill M Moore practices in Vassar, MI and has the professional credentials of FNP-BC. The NPI Number for Jill M Moore is 1104811215 and holds a License No. 4704173083 (Michigan).

The current practice location address for Jill M Moore is 1212 W Saginaw Rd, Vassar, MI and can be reached out via phone at 989-823-5020 and via fax at 989-823-7881.

Location: 1212 W Saginaw Rd, Vassar, MI, 48764-0779
person
Provider Profile Details
NPI Number
1104811215
Provider Name
Jill M Moore
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
1212 W Saginaw Rd, Vassar, MI, 48764-0779
Phone Number
989-823-5020
Fax Number
989-823-7881
Provider Enumeration Date
09/14/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
M10200335 01 MI TRICARE
150533 01 MI MEDICAID-GREATLAKES
0877585 01 MI BCBSMI
4708328 05 MI
institution
Provider Business Practice Location Address Details
Address
1212 W Saginaw Rd
City
State
Zip
48768-9483
Phone Number
989-823-5020
Fax Number
989-823-7881
person
Provider Business Mailing Address Details
Address
1212 W Saginaw Rd
City
State
Zip
48768-9483
Phone Number
989-823-5020
Fax Number
989-823-7881
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
4704173083 (Michigan)
Definition
Definition to come...
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