DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JERRY MOORE SR.

Active

Licensed Practical Nurse · SPRINGFIELD, MA

Registration Details

NPI Number
1033368790
Provider Type
Individual
Gender
Male
NPI Issued
Sep 17, 2008 (17.594706543158 yrs)
Last Updated
Sep 17, 2008
License
33527 (MA)

Practice Information

Address
417 LIBERTY ST
SPRINGFIELD, MA, 011043736
Browse MA providers · Browse ZIP 01104
Phone
4137470705
Fax
4137327075
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in SPRINGFIELD, MA

Name Credential NPI
VIRGINIA LOU HARRIS L.P.N. 1225121643
BETTY MYERS LPN 1255405841
UNA MICHELLE THOMAS LPN 1205089471
SAFIYA ABDULLAH LPN 1083851232
NATASHA ANN TAYLOR LPN 1659729994
SARAH CHERE SMITH LPN 1588126783
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.