Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JENNIFER E MOORE, MS, RDN, LDN, CSR
Active Sole ProprietorMRS. JENNIFER E MOORE, MS, RDN, LDN, CSR is a Renal Nutrition healthcare provider located in SOUTHAVEN, Mississippi. NPI 1023271962 is currently active in the NPPES registry. Verify at CMS.
Renal Nutrition · SOUTHAVEN, MS
Registration Details
- NPI Number
- 1023271962
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 9, 2008 (18.119446283353 yrs)
- Last Updated
- Jan 10, 2022
- License
-
LDN0000001086 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3870 LISCOTT RDSOUTHAVEN, MS, 386726780Browse MS providers · Browse ZIP 38672
- Phone
- 7025332259
- Primary Specialty
-
Renal Nutrition
133VN1005X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.