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

JACOB RYAN MOORE

Active

JACOB RYAN MOORE is a Licensed Vocational Nurse healthcare provider located in FAIR OAKS, California. NPI 1346008844 is currently active in the NPPES registry. Verify at CMS.

Licensed Vocational Nurse · FAIR OAKS, CA

Registration Details

NPI Number
1346008844
Provider Type
Individual
Gender
Male
NPI Issued
Mar 8, 2024 (2.4260346029461 yrs)
Last Updated
Mar 8, 2024
License
722770 (CA)

Practice Information

Address
10821 FAIR OAKS BLVD
FAIR OAKS, CA, 956287214
Browse CA providers · Browse ZIP 95628
Phone
9169037028
Primary Specialty
Licensed Vocational Nurse
164X00000X

Other Licensed Vocational Nurse Providers in FAIR OAKS, CA

Name Credential NPI
KRYSTAL PETTIT LVN 1891195970
LISA KEELEY LVN 1013530005
LISA IWANYCZKO LVN 1790308799
JESSICA NADINE CABRAL LVN 1578202420
HASIFA NAKAJUBI 1952005530
SUZANNE JACKSON LVN 1326826314
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.