Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA ANN MOON, NURSE
Active Sole ProprietorJESSICA ANN MOON, NURSE is a Licensed Practical Nurse healthcare provider located in NEWARK, New York. NPI 1033445846 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · NEWARK, NY
Registration Details
- NPI Number
- 1033445846
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 29, 2009 (16.765800318823 yrs)
- Last Updated
- Oct 29, 2009
- License
-
290690-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
439 E UNION STANEWARK, NY, 145131609Browse NY providers · Browse ZIP 14513
- Phone
- 5858572233
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
Other Licensed Practical Nurse Providers in NEWARK, NY
| Name | Credential | NPI |
|---|---|---|
| MISS JAMIE LEE JEFFREY | L.P.N | 1063698140 |
| MS. LORI JEAN RANDOLPH | LPN | 1063684710 |
| NANCY JEAN IDE | LPN | 1831355791 |
| MS. LEKESHIA BERNADETTE MASON | LPN | 1518199868 |
| VALERIE YVONNE CRAY | — | 1265755763 |
| JANICE COMER | — | 1497023840 |
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.