IndividualActive
Jill Moore, RN, CDE
NPI 1639589526 · Diabetes Educator Registered Nurse · Gaylord, MI
Provider details
- NPI number
- 1639589526
- Entity type
- Individual
- Primary specialty
- Diabetes Educator Registered NurseNursing Service Providers
- Credential
- RN, CDE
- Sex
- Female
- Sole proprietor
- No
- License
- 4704150144 (MI)
Specialties & taxonomies
Nursing Service Providers
Practice location
829 N Center Ave Ste 140
Gaylord, MI 49735-1598
Phone: (989) 731-7872
Fax: (989) 731-7833
Approximate (ZIP-level) locationGet directions
Mailing address
850 N Otsego Ave
Gaylord, MI 49735-1568
Registry dates
- Enumerated
- 2014-05-01
- Last updated
- 2014-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.