| Jennifer Leigh Moore, CRNA | |
|
Psc 827, Fpo, AE 09617 | |
| (011) 390-814324 | |
| Not Available |
| Full Name | Jennifer Leigh Moore |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | Psc 827, Fpo, Armed Forces Europe |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801880091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RNA36612 (Rhode Island) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | ARNP9277203 (Florida) | Primary |
| Entity Name | Us Anesthesia Partners Of Florida Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518910520 PECOS PAC ID: 0345143152 Enrollment ID: O20040129000594 |
| Entity Name | Volusia Anesthesiology Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205861697 PECOS PAC ID: 3971509720 Enrollment ID: O20061018000445 |
| Entity Name | Amsurg Port Orange Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043654270 PECOS PAC ID: 6406098235 Enrollment ID: O20130807000756 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Leigh Moore, CRNA 1818 Roscoe Turner Trl, Port Orange, FL 32128-6838 Ph: () - | Jennifer Leigh Moore, CRNA Psc 827, Fpo, AE 09617 Ph: (011) 390-814324 |
Tanya Ponder, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: Psc 836 Box 2760, Fpo, AE 09636 Phone: 001-624-4814 | |
Elizabeth Gallegos, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: Psc 819 Box 4610, Fpo, AE 09645 Phone: 860-324-6108 |