| Jacqueline Historian Moore, LPN | |
|
6256 Hillandale Dr Apt 803, Lithonia, GA 30058-2432 | |
| (678) 913-7277 | |
| Not Available |
| Full Name | Jacqueline Historian Moore |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 6256 Hillandale Dr Apt 803, Lithonia, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659649002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | LPN085771 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqueline Historian Moore, LPN 6256 Hillandale Dr Apt 803, Lithonia, GA 30058-2432 Ph: (678) 913-7277 | Jacqueline Historian Moore, LPN 6256 Hillandale Dr Apt 803, Lithonia, GA 30058-2432 Ph: (678) 913-7277 |
Ayanna Tenay Harris, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2277 Stone Mountain Lithonia Rd, Lithonia, GA 30058 Phone: 770-484-2600 Fax: 770-484-0155 | |
Ms. Vickie J Ivey, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 3410 Rocky Pine Ct, Lithonia, GA 30038 Phone: 770-808-6100 Fax: 770-808-7527 | |
Monica Jones, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 7043 Setters Way, Lithonia, GA 30038 Phone: 678-471-1967 | |
Kenyatta D Fisher, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 5521 Donerail St, Lithonia, GA 30058 Phone: 678-368-7449 | |
Lechaylla Wells, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 6382 Redan Sq, Lithonia, GA 30058 Phone: 772-501-2899 | |
Allison Prad, MASSAGE THERAPIST Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 6990 Annie Walk, Lithonia, GA 30038 Phone: 678-780-4783 | |
Ms. Roszina Tekola Holmes, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 6590 Alford Way, Lithonia, GA 30058 Phone: 678-531-0248 Fax: 770-829-5202 |