Jack L Moore
Nurse Practitioner - Community Health
777 Bannock St Mc 7782
Denver
, Colorado 80204-4507
Jack L Moore
Nurse Practitioner - Community Health
777 Bannock St Mc 7782
Denver
, Colorado 80204-4507
(303) 436-6000
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About
Features
Specialties
- Nurse Practitioner - Community Health
Languages spoken
- English
Location
First Address
- Jack L Moore
- 777 Bannock St Mc 7782
- Denver, CO
- Zip : 80204-4507
- Phone : (303) 436-6000
Second Address
- Jack L Moore
- 777 Bannock St Mc 7782
- Denver, CO
- Zip : 80204-4507
- Phone : (303) 436-6000
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LC1500X | Nurse Practitioner - Community Health | 63602 | CO |
National Provider Identifier
| NPI | 1568470011 |
|---|---|
| Provider Name | Jack L Moore |
| First Address | Denver, CO 80204-4507 |
| Second Address | Denver, CO 80204-4507 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/08/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 98202545 | (05) | CO |
| P52197 | (02) | CO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.