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Kyjana Dominique Moore, LPN
Licensed Practical Nurse in Sherwood, Arkansas
NPI 1770110462

Kyjana Dominique Moore is a Licensed Practical Nurse based in Sherwood, AR. Kyjana Dominique Moore practices in Sherwood, AR and has the professional credentials of LPN. The NPI Number for Kyjana Dominique Moore is 1770110462 and holds a License No. 121607 (Arkansas).

The current practice location address for Kyjana Dominique Moore is 1540 Country Club Rd, Sherwood, AR and can be reached out via phone at 501-753-5459.

Location: 1540 Country Club Rd, Sherwood, AR, 72120-5095
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770110462
Provider Name
Kyjana Dominique Moore
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
1540 Country Club Rd, Sherwood, AR, 72120-5095
Phone Number
501-753-5459
Fax Number
Provider Enumeration Date
03/24/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1540 Country Club Rd
City
Sherwood
State
Arkansas
Zip
72120-5095
Phone Number
501-753-5459
Fax Number
person
Provider Business Mailing Address Details
Address
1540 Country Club Rd
City
Sherwood
State
Arkansas
Zip
72120-5095
Phone Number
501-753-5459
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
121607 (Arkansas)
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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