Jeanetta Lee Moore

Case Manager/Care Coordinator · Nowata, OK

Individual Active NPI

NPI number 1790432201

Practice location

325 S Ash St
Nowata, OK 74048-4628
Phone
(918) 273-7344

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NPI record

NPI
1790432201
Entity type
Individual (Type 1)
Enumeration date
March 4, 2022
Last updated
March 4, 2022
Certified
March 4, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Case Manager/Care Coordinator Primary 171M00000X — —

About Jeanetta Moore

Jeanetta Lee Moore is a healthcare provider registered in the NPI registry with the primary taxonomy Case Manager/Care Coordinator (code 171M00000X). The practice location is 325 S Ash St, Nowata, OK 74048-4628. The NPI number 1790432201 was assigned on March 4, 2022 and the record was last updated on March 4, 2022.

Frequently asked questions

What is the NPI number of Jeanetta Lee Moore?

The NPI number is 1790432201.

What is the phone number of Jeanetta Moore?

The phone number listed for the practice location is (918) 273-7344.

Where is Jeanetta Moore located?

325 S Ash St, Nowata, OK 74048-4628.

What is the taxonomy code for Jeanetta Moore?

The primary taxonomy code is 171M00000X – Case Manager/Care Coordinator.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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