EUN JUNG MOORE (NPI# 1093048613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093048613 |
| Entity Type | Individual |
| Full Name | EUN JUNG MOORE |
| Credential | LPN |
| Practice Address |
3350 Thomas St Spc 100 Fairbanks AK 99709-3828 |
| Practice Telephone | 9074573110 |
| Mailing Telephone | 9074573110 |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2017-01-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 6350 | AK | Nursing Service Providers |
| Street Address |
3350 THOMAS ST SPC 100 |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99709-3828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255946810 | Beacon Monitoring Professional Services | Technician, Other | 745 Staffordshire Rd, Fairbanks, AK 99709 | 2020-09-10 |
| 1235629544 | Fairbanks Healing Space | Health Educator | 3875 Geist Road, Suite E #136, Fairbanks, AK 99709 | 2018-05-11 |
| 1609395409 | Shawn K Goggins | Counselor | 1423 Peger Road, Fairbanks, AK 99709 | 2017-09-12 |
| 1710433347 | Jay Titus | Technician/Technologist | 2884 Marina Drive, Fairbanks, AK 99709 | 2016-09-01 |
| 1710391610 | Hannah Summerfelt | Dentist | 3539 Thomas St, Fairbanks, AK 99709 | 2014-06-18 |
| 1629407325 | Diane Louise Mitchell | Nurse Practitioner | 4650 Harvard Cir, Fairbanks, AK 99709 | 2013-11-04 |
| 1407147929 | Christina Martz | Counselor | 1270 Summet Drive, Fairbanks, AK 99709 | 2011-05-02 |
| 1255652285 | Surgery Center of Fairbanks LLC | Clinic/Center | 2310 Peger Road, Fairbanks, AK 99709 | 2010-06-14 |
| 1962661835 | John Leo Hughes Jr Jr. | Dentist | 3437 Airport Way, Suite 205, Fairbanks, AL 99709 | 2008-06-05 |
| 1508042417 | Katherine E Johnson, Md PC | Ophthalmology | 2485 Chief William Drive, Suite 100, Fairbanks, AK 99709 | 2008-01-10 |
| Find all providers in zip 99709 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902247778 | Prentiss Burke | Licensed Practical Nurse | 1223 27th Ave, Fairbanks, ALASKA 99701 | 2013-07-09 |
| 1790020204 | Misty Morna Nickoli | Licensed Practical Nurse | 1717 West Cowels Street, Fairbanks, AK 99701 | 2012-12-10 |
| 1437446549 | Essie Theresa Johnson | Licensed Practical Nurse | 540 4th Ave, 100, Fairbanks, AK 99701-4714 | 2011-07-09 |
| 1073848586 | Elizabeth Marie Doddridge | Licensed Practical Nurse | 1015 Smallwood Trl, Fairbanks, AK 99712-3124 | 2009-10-16 |
| 1255511895 | Jamie Dewayne Noble | Licensed Practical Nurse | 1717 West Cowles, Fairbanks, AK 99701-5903 | 2007-11-12 |
| 1376172585 | Lucinda Dowdy | Licensed Practical Nurse | 1717 W Cowles St, Fairbanks, AK 99701-5926 | 2020-04-08 |
| 1790339695 | Gary Eaker | Licensed Practical Nurse | 1717 W Cowles St, Fairbanks, AK 99701-5926 | 2019-07-29 |
| 1134771751 | Sharon Elemento Egana-cabolis | Licensed Practical Nurse | 650 Younker Ct, Fairbanks, AK 99701-7586 | 2019-07-13 |
| 1396397394 | Tamara Lu Thompson | Licensed Practical Nurse | 650 Younker Ct, Fairbanks, AK 99701-7586 | 2019-07-10 |
| 1730630716 | Heidi Beardsley | Licensed Practical Nurse | 1717 W Cowles St, Fairbanks, AK 99701-5926 | 2016-10-14 |
| Find all providers in FAIRBANKS | ||||
Please comment or provide details below to improve the information on EUN JUNG MOORE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.