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Jacob Ryan Moore
Licensed Vocational Nurse in Fair Oaks, California
NPI 1346008844

Jacob Ryan Moore is a Licensed Vocational Nurse based in Sacramento, CA. Jacob Ryan Moore practices in Fair Oaks, CA. The NPI Number for Jacob Ryan Moore is 1346008844 and holds a License No. 722770 (California).

The current practice location address for Jacob Ryan Moore is 10821 Fair Oaks Blvd, Fair Oaks, CA and can be reached out via phone at 916-903-7028.

Location: 10821 Fair Oaks Blvd, Fair Oaks, CA, 95816-5112
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346008844
Provider Name
Jacob Ryan Moore
Credential
Provider Entity Type
Individual
Gender
Male
Address
10821 Fair Oaks Blvd, Fair Oaks, CA, 95816-5112
Phone Number
916-903-7028
Fax Number
Provider Enumeration Date
03/08/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
10821 Fair Oaks Blvd
City
Fair Oaks
State
California
Zip
95628-7214
Phone Number
916-903-7028
Fax Number
person
Provider Business Mailing Address Details
Address
10821 Fair Oaks Blvd
City
Fair Oaks
State
California
Zip
95628-7214
Phone Number
916-903-7028
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Vocational Nurse
Speciality
-
Taxonomy
164X00000X
License No.
722770 (California)
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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
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