Individual provider
JENNIFER MARIE MOORE, RN, BSN
CMS NPPES lists JENNIFER MARIE MOORE as an individual provider record with NPI 1003016460. The current record reports a primary practice location in GALLUP, NM and primary taxonomy code 163WM0705X.
Type 1 NPIs identify individual healthcare providers. How to read this profile
01
Practice locations
- Primary practice location516 E NIZHONI BLVDGALLUP, NM 873015748
Only source-designated practice locations are shown here. Mailing addresses are not presented as practice locations.
02
Taxonomy information
163WM0705XPrimary reported taxonomy
Taxonomy codes describe provider classifications reported to NPPES. Repeated identical codes are shown once, with primary-reported status preserved. They are not licenses, certifications, quality measures, or NPIFolio specialty labels. Read the taxonomy methodology.
03
NPI record information
- NPI status
- Enumerated in NPPES
- Enumeration date
- July 23, 2007
An NPI is a federal identifier. Enumeration and lifecycle information does not establish medical-license status, current practice, disciplinary history, provider quality, or whether a provider is accepting patients.