| Jennifer Moore, CRNP | |
| 1010 Christine Ave, Anniston, AL 36207-5782 | |
| (256) 236-5631 | |
| (256) 624-9388 | 
| Full Name | Jennifer Moore | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 1010 Christine Ave, Anniston, Alabama | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1871821165 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1-112453 (Alabama) | Primary | 
| Entity Name | Cheaha Area Regional Emergency Specialists | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1871656223 PECOS PAC ID: 6103843354 Enrollment ID: O20051027000760 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jennifer Moore, CRNP Po Box 2127, Anniston, AL 36202-2127 Ph: (256) 236-5631 | Jennifer Moore, CRNP 1010 Christine Ave, Anniston, AL 36207-5782 Ph: (256) 236-5631 | 
| Amanda Marie Pearson, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 516 Quintard Ave, Anniston, AL 36201 Phone: 256-741-9799 Fax: 256-741-9795 | |
| Mary Miller,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 731 Leighton Ave, Anniston, AL 36207 Phone: 256-741-6464 | |
| Cori Clark Broadhead,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 516 Quintard Ave, Anniston, AL 36201 Phone: 256-741-9799 Fax: 256-741-9795 | |
| Holly Flanagan Mays, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3312 Henry Rd, Anniston, AL 36207 Phone: 256-241-2671 Fax: 256-241-2676 | |
| Jessica Benedicta Coby, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 400 E 10th St, Anniston, AL 36207 Phone: 256-235-5896 | |
| Dr. Dhara Sandip Patel, DNP, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 731 Leighton Ave, Anniston, AL 36207 Phone: 256-741-6464 | |
| Jessica Marie Semyonova, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1010 Christine Ave, Anniston, AL 36207 Phone: 256-236-5631 Fax: 256-241-2241 |