Jolisa Moore

Counselor · Bartow, FL

Individual Active NPI

NPI number 1942785795

Practice location

1239 E Main St
Bartow, FL 33830-5058
Phone
(863) 519-0575

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NPI record

NPI
1942785795
Entity type
Individual (Type 1)
Enumeration date
September 27, 2018
Last updated
September 27, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Counselor Primary 101Y00000X — —

Mailing address

PO Box 1559
Bartow, FL 33831-1559
Phone
(863) 519-0575

About Jolisa Moore

Jolisa Moore is a healthcare provider registered in the NPI registry with the primary taxonomy Counselor (code 101Y00000X). The practice location is 1239 E Main St, Bartow, FL 33830-5058. The NPI number 1942785795 was assigned on September 27, 2018 and the record was last updated on September 27, 2018.

Frequently asked questions

What is the NPI number of Jolisa Moore?

The NPI number is 1942785795.

What is the phone number of Jolisa Moore?

The phone number listed for the practice location is (863) 519-0575.

Where is Jolisa Moore located?

1239 E Main St, Bartow, FL 33830-5058.

What is the taxonomy code for Jolisa Moore?

The primary taxonomy code is 101Y00000X – Counselor.

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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