Jacob W Moore JR.
Nurse Practitioner - Adult Health
550 S Beretania St Ste 601
Honolulu
, Hawaii 96813-2423
Jacob W Moore JR.
Nurse Practitioner - Adult Health
550 S Beretania St Ste 601
Honolulu
, Hawaii 96813-2423
(808) 691-8875
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About
Features
Specialties
- Nurse Practitioner - Adult Health
Languages spoken
- English
Location
First Address
- Jacob W Moore JR.
- 550 S Beretania St Ste 601
- Honolulu, HI
- Zip : 96813-2423
- Fax : (808) 691-8875
- Phone : (808) 691-8877
Second Address
- Jacob W Moore JR.
- 550 S Beretania St Ste 601
- Honolulu, HI
- Zip : 96813-2423
- Fax : (808) 691-8875
- Phone : (808) 691-8877
Reviews
FAQs
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Is Jacob W Moore JR. board certified?
What type of doctor is Jacob W Moore JR.
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Where is Jacob W Moore JR.’s practice located?
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Is Jacob W Moore JR. a sole practitioner?
Is Jacob W Moore JR. accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | APRN-558 | HI |
National Provider Identifier
| NPI | 1023165610 |
|---|---|
| Provider Name | Jacob W Moore JR. |
| First Address | Honolulu, HI 96813-2423 |
| Second Address | Honolulu, HI 96813-2423 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/01/2007 |
| Last Update Date | 19/06/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0000245274 | HMSA BILLING NUMBER (01) | HI |
| 55115201 | (05) | HI |
| P33252 | (02) | HI |
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.