Jennifer Heine Moore, LVN is a
Licensed Vocational Nurse based in Canton, Texas. Jennifer Heine Moore is licensed to practice in Texas (license number 332189) and her current practice location is
315 S Grand Saline St, Canton, Texas. She can be reached at her office (for appointments etc.) via phone at
(469) 474-1777.
NPI number for Jennifer Heine Moore is 1942788104 and her current mailing address is Po Box 1494, Forney, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1942788104.
Provider's Profile
Full Name | Jennifer Heine Moore |
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Gender | Female |
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Speciality | Licensed Vocational Nurse |
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Location | 315 S Grand Saline St, Canton, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1942788104
- Provider Enumeration Date: 07/31/2018
- Last Update Date: 07/31/2018
Medical Identifiers
Medical identifiers for Jennifer Heine Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942788104 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164X00000X | Licensed Vocational Nurse | 692539 (California) | Secondary |
164X00000X | Licensed Vocational Nurse | 332189 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer Heine Moore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jennifer Heine Moore, LVN Po Box 1494, Forney, TX 75126-1494 Ph: (469) 474-1777 | Jennifer Heine Moore, LVN 315 S Grand Saline St, Canton, TX 75103-1355 Ph: (469) 474-1777 |
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