National Provider Identifier
Jessica Ann Moon, NURSE
Jessica Ann Moon, NURSE is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Newark, NY and a listed phone number of (585) 857-2233.
Profile Overview
- NPI
- 1033445846
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- October 29, 2009
- Last Updated
- October 29, 2009
Practice Location
- 439 E Union St
- A
- Newark, NY 14513-1609
Phone: (585) 857-2233
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1033445846
- Entity Type
- Individual
- Last Name
- Moon
- First Name
- Jessica
- Middle Name
- Ann
- Credential
- NURSE
- Mailing Street Address
- 439 E Union St
- Mailing Address Line 2
- A
- Mailing City
- Newark
- Mailing State
- NY
- Mailing ZIP Code
- 14513-1609
- Mailing Country
- US
- Mailing Phone
- (585) 857-2233
- Practice Street Address
- 439 E Union St
- Practice Address Line 2
- A
- Practice City
- Newark
- Practice State
- NY
- Practice ZIP Code
- 14513-1609
- Practice Country
- US
- Practice Phone
- (585) 857-2233
- Enumeration Date
- October 29, 2009
- Last Updated
- October 29, 2009
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)