Jonathan Moore
NPI #1447764907 in Clarksburg, West Virginia
Provider Information
- NPI Number
- 1447764907
- Entity Type
- Individual
- Name
- Jonathan Moore
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Nov 20, 2017
- Last Updated
- Nov 20, 2017
Practice Location
- Address
- 1 MEDICAL CTR. DRIVE
- City
- Clarksburg
- State
- West Virginia
- ZIP Code
- 26301
- Phone
- (304) 623-3461
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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