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Provider Information for 1437124013

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

MS. JONETTE RAE MOORE ARNP

Gender: FEMALE

Individual NPI: 1437124013

Calendar   Last Updated:  2007-07-17
  Certification Date: 

Details

Name Value
NPI 1437124013
Enumeration Date 2006-02-17
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 13000 BRUCE B DOWNS BLVD
TAMPA, FL 33612-4745
United States

Phone: 813-631-7123 | Fax:
View Map External Link
Primary Practice Address 13000 BRUCE B DOWNS BLVD JAMES A. HALEY VA
TAMPA, FL 33612-4745
United States

Phone: 813-631-7123 | Fax: 813-631-7128
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 363LA2200X - Nurse Practitioner Adult Health FL ARNP2226382