| Jerry Moore Sr, | |
|
417 Liberty St, Springfield, MA 01104-3736 | |
| (413) 747-0705 | |
| (413) 732-7075 |
| Full Name | Jerry Moore Sr |
|---|---|
| Gender | Male |
| Speciality | Licensed Practical Nurse |
| Location | 417 Liberty St, Springfield, Massachusetts |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033368790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 33527 (Massachusetts) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry Moore Sr, 417 Liberty St, Springfield, MA 01104-3736 Ph: (413) 747-0705 | Jerry Moore Sr, 417 Liberty St, Springfield, MA 01104-3736 Ph: (413) 747-0705 |
Taqueda Renee Smtih, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 417 Liberty St, Springfield, MA 01104 Phone: 413-246-9675 | |
Patricia Colin, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 395 Liberty St, Springfield, MA 01104 Phone: 413-747-0705 Fax: 413-732-7075 | |
Pauline Calderon-evans, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 417 Liberty St, Springfield, MA 01104 Phone: 413-747-0705 Fax: 413-732-7075 | |
Rhonda Stefanelli, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 511 E Columbus Ave, Springfield, MA 01105 Phone: 413-733-3488 | |
Carol Calhoun, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 511 E Columbus Ave, Springfield, MA 01105 Phone: 413-733-3488 | |
Fantasia Gould, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 511 E Columbus Ave, Springfield, MA 01105 Phone: 413-266-4068 |