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Jonathan Moore
Family Nurse Practitioner in Clarksburg, West Virginia
NPI 1447764907

Jonathan Moore is a Family Nurse Practitioner based in Bridgeport, WV and is specialized in Family. Jonathan Moore practices in Clarksburg, WV. The NPI Number for Jonathan Moore is 1447764907 and holds a License No. APRN76344-FNP-BC (West Virginia).

The current practice location address for Jonathan Moore is 1 Medical Ctr. Drive, Clarksburg, WV and can be reached out via phone at 304-623-3461.

Location: 1 Medical Ctr. Drive, Clarksburg, WV, 26330-1417
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447764907
Provider Name
Jonathan Moore
Credential
Provider Entity Type
Individual
Gender
Male
Address
1 Medical Ctr. Drive, Clarksburg, WV, 26330-1417
Phone Number
304-623-3461
Fax Number
Provider Enumeration Date
11/20/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
APRN76344-FNP-BC 01 WA WV FNP-BC LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
1 Medical Ctr. Drive
City
Clarksburg
State
West Virginia
Zip
26301
Phone Number
304-623-3461
Fax Number
person
Provider Business Mailing Address Details
Address
1 Medical Ctr. Drive
City
Clarksburg
State
West Virginia
Zip
26301
Phone Number
304-623-3461
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
APRN76344-FNP-BC (West Virginia)
Definition
Definition to come...
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