| Jennifer Moore, AGACNP-BC, DNP | |
|
1660 E Murray Holladay Rd, Holladay, UT 84117-5008 | |
| (801) 419-0705 | |
| (801) 606-7902 |
| Full Name | Jennifer Moore |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 1660 E Murray Holladay Rd, Holladay, Utah |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962086165 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 7014826-4405 (Utah) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ming-wei Wu Inc | 4284726159 | 26 |
| Entity Name | Ming-wei Wu Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699975144 PECOS PAC ID: 4284726159 Enrollment ID: O20171129001743 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Moore, AGACNP-BC, DNP 5089 W Duckhorn Dr, South Jordan, UT 84009-8145 Ph: (801) 362-4227 | Jennifer Moore, AGACNP-BC, DNP 1660 E Murray Holladay Rd, Holladay, UT 84117-5008 Ph: (801) 419-0705 |
Jun Lin, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4624 S Holladay Blvd Ste 201, Holladay, UT 84117 Phone: 801-266-3113 | |
Stacey Mills Lake, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 999 E Murray Holladay Rd Ste 207, Holladay, UT 84117 Phone: 801-268-2584 | |
Hillary Lowe Taggart, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2290 E 4500 S Ste 210, Holladay, UT 84117 Phone: 801-516-8884 | |
Brandie Blood Rudy, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4252 S Highland Dr Ste 200, Holladay, UT 84124 Phone: 801-993-1800 | |
Gavin Woods, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1961 E Severn Cir, Holladay, UT 84124 Phone: 801-842-1917 | |
Ashlee Williams, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2233 E Murray Holladay Rd Ste 117, Holladay, UT 84117 Phone: 385-436-4859 Fax: 801-609-3114 | |
Lillian Farris, DNP, APRN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4525 S 2300 E Ste 102, Holladay, UT 84117 Phone: 385-313-0401 Fax: 385-313-9762 |