JENNIFER FRANCES MOON AA-C
Nursing Yellow Pages
Greenville, South Carolina
Provider NPI: 1306836986
Provider Information:JENNIFER FRANCES MOON AA-C
Practice Location:
701 GROVE RD GREENVILLE, SC 29605 US
Tel: 864-455-3076 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 367H00000X | Physician Assistants & Advanced Practice Nursing Providers Anesthesiologist Assistant | SC | 3 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
MEDCOST | C0650 | 01 | |
AA0002 | SC | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin