Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JENNIFER RENEE MOORE, ATC, LMT
ActiveMRS. JENNIFER RENEE MOORE, ATC, LMT is a Athletic Trainer healthcare provider located in JACKSONVILLE, Illinois. NPI 1639106420 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · JACKSONVILLE, IL
Registration Details
- NPI Number
- 1639106420
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 27, 2006 (20.0961204564 yrs)
- Last Updated
- Jul 8, 2007
Practice Information
- Address
-
209 E PENNSYLVANIA AVEJACKSONVILLE, IL, 626503435Browse IL providers · Browse ZIP 62650
- Phone
- 2172433926
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in JACKSONVILLE, IL
| Name | Credential | NPI |
|---|---|---|
| KRIS ALAN SCHWIDERSKI | A.T.,C. | 1902874092 |
| MR. TERRY LEE GEIRNAEIRT | ATC | 1639131071 |
| MR. DEVIN SCOTT SPEARS | M.S., A.T.,C. | 1275597569 |
| MS. REBECCA BETH PRITIKIN | M.ED, LAT, ATC | 1780796706 |
| TYLER BLAIR | — | 1376913715 |
| SHANE GREGORY HUDSON | — | 1356856181 |
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.