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Jacob Evans Moore
Student in an Organized Health Care Education/Training Program in Huntsville, Alabama
NPI 1730761107

Jacob Evans Moore is a Student in an Organized Health Care Education/Training Program based in Huntsville, AL. Jacob Evans Moore practices in Huntsville, AL. The NPI Number for Jacob Evans Moore is 1730761107 and holds a License No. (Alabama).

The current practice location address for Jacob Evans Moore is 8 Wadsworth Dr, Huntsville, AL and can be reached out via phone at 503-367-4706.

Location: 8 Wadsworth Dr, Huntsville, AL, 35808-1007
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730761107
Provider Name
Jacob Evans Moore
Credential
Provider Entity Type
Individual
Gender
Male
Address
8 Wadsworth Dr, Huntsville, AL, 35808-1007
Phone Number
503-367-4706
Fax Number
Provider Enumeration Date
04/26/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8 Wadsworth Dr
City
Huntsville
State
Alabama
Zip
35808-1007
Phone Number
503-367-4706
Fax Number
person
Provider Business Mailing Address Details
Address
8 Wadsworth Dr
City
Huntsville
State
Alabama
Zip
35808-1007
Phone Number
503-367-4706
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
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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