person
Daniel Moore
Student in an Organized Health Care Education/Training Program in Jackson, Mississippi
NPI 1285492694

Daniel Moore is a Student in an Organized Health Care Education/Training Program based in Madison, MS. Daniel Moore practices in Jackson, MS. The NPI Number for Daniel Moore is 1285492694 and holds a License No. (Mississippi).

The current practice location address for Daniel Moore is 2500 N State St, Jackson, MS and can be reached out via phone at 601-984-5012.

Location: 2500 N State St, Jackson, MS, 39110-8721
person
Provider Profile Details
NPI Number
1285492694
Provider Name
Daniel Moore
Credential
Provider Entity Type
Individual
Gender
Male
Address
2500 N State St, Jackson, MS, 39110-8721
Phone Number
601-984-5012
Fax Number
Provider Enumeration Date
03/11/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
2500 N State St
City
State
Zip
39216-4500
Phone Number
601-984-5012
Fax Number
person
Provider Business Mailing Address Details
Address
2500 N State St
City
State
Zip
39216-4500
Phone Number
601-984-5012
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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