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

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

Practice location Address checks out

17379 Delaware Dr
Macomb, MI 48044-2623
Phone: (586) 263-5763
Show map & directions

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

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