Jaden Rene Moomaw
Jaden Rene Moomaw is a Nurse Practitioner in Mattoon, Illinois. Qualified in 2023, 3 years ago. Practices with Carle Health Care Incorporated, a 1,543-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 3
- Licensed in
- IL
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
Mattoon, ILNo coordinates on file. Search this address in Google Maps
Additional practice locations (1)
- 6 Hairpin Dr, Edwardsville, IL 62026-1000 — (618) 650-3956
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 209027942 (IL) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1376298919 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 12, 2022 |
| Last updated in NPPES | February 29, 2024 |
| Certification date | February 29, 2024 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Group practice | Carle Health Care Incorporated — 1543 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
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