Jedd Moore, NP | |
300 W Myrtle St Ste 100, Boise, ID 83702-7690 | |
(208) 472-9082 | |
Not Available |
Full Name | Jedd Moore |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 300 W Myrtle St Ste 100, Boise, Idaho |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902380371 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 59377 (Idaho) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Alliance Medical Group Llc | 3971544685 | 118 |
Entity Name | Alliance Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568413920 PECOS PAC ID: 3971544685 Enrollment ID: O20050512000561 |
Mailing Address | Practice Location Address |
---|---|
Jedd Moore, NP Po Box 191050, Boise, ID 83719-1050 Ph: (208) 955-6522 | Jedd Moore, NP 300 W Myrtle St Ste 100, Boise, ID 83702-7690 Ph: (208) 472-9082 |
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Dr. Nancy Jane L'heureux, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6259 W Emerald St, Boise, ID 83704 Phone: 208-489-1900 Fax: 208-375-5286 | |
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