Jonathan Foster-Moore, FNP-BC
Nurse Practitioner, Family in Roxbury, Massachusetts
1790394096- Practice location
- 45 Dimock St, Roxbury, MA 02119-1208
- Phone
- 617-442-8800
- Fax
- 617-541-8472
- Last updated
- November 16, 2020
Jonathan Foster-Moore is a Nurse Practitioner, Family based in Roxbury, MA. Jonathan Foster-Moore practices in Roxbury, MA and has the professional credentials of FNP-BC. The NPI Number for Jonathan Foster-Moore is 1790394096 and holds a License No. 2330326 (MA). The current practice location address for Jonathan Foster-Moore is 45 Dimock St, Roxbury, MA 02119-1208 and can be reached out via phone at 617-442-8800 and via fax at 617-541-8472.
Provider Profile Details
- NPI Number
- 1790394096
- Provider Name
- Jonathan Foster-Moore
- Credential
- FNP-BC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 45 Dimock St, Roxbury, MA 02119-1208
- Phone Number
- 617-442-8800
- Fax Number
- 617-541-8472
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 23, 2020
- Last Update Date
- November 16, 2020
- Certification Date
- November 16, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 45 Dimock St
Roxbury, MA 02119-1208 - City
- Roxbury
- State
- Massachusetts
- Zip
- 02119-1208
- Phone Number
- 617-442-8800
- Fax Number
- 617-541-8472
Provider Business Mailing Address Details
- Address
- 112 Hyde Park Ave Apt 3
Boston, MA 02130-4155 - City
- Boston
- State
- MA
- Zip
- 02130-4155
- Phone Number
- 413-588-1685
License Information
- License Number
- 2330326
- License State
- MA
- Taxonomy
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jonathan Foster-Moore, FNP-BC?
The NPI number of Jonathan Foster-Moore, FNP-BC is 1790394096. It was assigned on July 23, 2020 and is currently active in the NPPES registry.
What is the specialty of Jonathan Foster-Moore, FNP-BC?
Jonathan Foster-Moore, FNP-BC is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in MA under license number 2330326.
Where does Jonathan Foster-Moore, FNP-BC practice?
The practice location is 45 Dimock St, Roxbury, MA 02119-1208. The office can be reached at 617-442-8800 (phone) or 617-541-8472 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790394096 directly on the NPPES registry website.