Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jennifer Moore

Individual provider Licensed Practical Nurse · NPI 1982084828

Jennifer Moore is a Licensed Practical Nurse in Macomb, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2015
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Practice location Address checks out

17379 Delaware Dr
Macomb, MI 48044-2623
Phone: (586) 263-5763
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 4704257904 (MI)

Record details

NPI number1982084828
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 5, 2015
Last updated in NPPESJune 5, 2015
Mailing address17379 Delaware Dr, Macomb, MI 48044-2623

Other providers in Macomb