Eun Jung Moore, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

6350 Issued in AK

Practice address

3350 Thomas St
SPC 100
Fairbanks, AK 99709-3828

Phone

(907) 457-3110

NPI assigned

Sep 14, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484784000000",
    "number": "1093048613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 THOMAS ST",
            "address_2": "SPC 100",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997093828",
            "telephone_number": "907-457-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 THOMAS ST",
            "address_2": "SPC 100",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997093828",
            "telephone_number": "907-457-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "EUN JUNG",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-14",
        "last_updated": "2017-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AK",
            "license": "6350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Moon, CNM, ARNP
• Moongang Inc (Fairbanks Urgent Care Center)
• Christina Moore
• Cindy D Moore, AGNP-BC
• Connie Jo Moore
• Kathleen Diane Moore
• Stacy Moore
• Stephen Michael Moore
• Warren M. Moore, D.C.
• Madeleine Morales-Stanley

• Licensed Practical Nurse in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Licensed Practical Nurse in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.