IndividualActive
Jeffrey Moore, RN
NPI 1205415205 · General Practice Registered Nurse · Pahrump, NV
Provider details
- NPI number
- 1205415205
- Entity type
- Individual
- Primary specialty
- General Practice Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Male
- Sole proprietor
- Yes
- License
- RN96780 (NV)
Mailing address
1470 E Calvada Blvd Ste 100
Pahrump, NV 89048-3906
Registry dates
- Enumerated
- 2021-04-06
- Last updated
- 2021-04-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.