Search › Georgia › 164W00000X
Jacqueline Moore, LPN
NPI 1659649002 · on the registry since 2011 · sole proprietor
Practice
- Address
- 6256 Hillandale Dr Apt 803
Lithonia, GA 30058 - Phone
- (678) 913-7277
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-01-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia