Jedd Moore, NP

NPI #1902380371 in Boise, Idaho

Provider Information

NPI Number: 1902380371
Entity Type: Individual
Name: Jedd Moore, NP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nurse Practitioner
Credential: NP
Enumeration Date: Sep 20, 2018
Last Updated: Jul 15, 2021

Practice Location

Address: 300 W MYRTLE ST STE 100
City: Boise
State: Idaho
ZIP Code: 83702-7690
Phone: (208) 472-9082

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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