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Jennetta Shimell Moore, LPN
Licensed Practical Nurse in Winston Salem, North Carolina
NPI 1629678271

Jennetta Shimell Moore is a Licensed Practical Nurse based in Winston Salem, NC. Jennetta Shimell Moore practices in Winston Salem, NC and has the professional credentials of LPN. The NPI Number for Jennetta Shimell Moore is 1629678271 and holds a License No. 90648 (North Carolina).

The current practice location address for Jennetta Shimell Moore is 3215 Old Vineyard Rd, Winston Salem, NC and can be reached out via phone at 336-354-9047. You can also correspond with Jennetta Shimell Moore through the mailing address at 3215 OLD VINEYARD RD, WINSTON SALEM, NC - 27103-1411 (mailing address contact number: 336-354-9047).

Location: 3215 Old Vineyard Rd, Winston Salem, NC, 27103-1411
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629678271
Provider Name
Jennetta Shimell Moore
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
3215 Old Vineyard Rd, Winston Salem, NC, 27103-1411
Phone Number
336-354-9047
Fax Number
Provider Enumeration Date
10/31/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3215 Old Vineyard Rd
City
Winston Salem
State
North Carolina
Zip
27103-1411
Phone Number
336-354-9047
Fax Number
person
Provider Business Mailing Address Details
Address
3215 Old Vineyard Rd
City
Winston Salem
State
North Carolina
Zip
27103-1411
Phone Number
336-354-9047
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
90648 (North Carolina)
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. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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