Jennetta Shimell Moore, LPN - Licensed Practical Nurse in Winston Salem, NC

Jennetta Shimell Moore, LPN is a Licensed Practical Nurse based in Winston Salem, North Carolina. Jennetta Shimell Moore is licensed to practice in North Carolina (license number 90648) and her current practice location is 3215 Old Vineyard Rd, Winston Salem, North Carolina. She can be reached at her office (for appointments etc.) via phone at (336) 354-9047.

NPI number for Jennetta Shimell Moore is 1629678271 and her current mailing address is 3215 Old Vineyard Rd, Winston Salem, North Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629678271.

Contact Information

Jennetta Shimell Moore, LPN
3215 Old Vineyard Rd,
Winston Salem, NC 27103-1411
(336) 354-9047
Not Available



Provider's Profile

Full NameJennetta Shimell Moore
GenderFemale
SpecialityLicensed Practical Nurse
Location3215 Old Vineyard Rd, Winston Salem, North Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1629678271
  • Provider Enumeration Date: 10/31/2020
  • Last Update Date: 10/31/2020

Medical Identifiers

Medical identifiers for Jennetta Shimell Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629678271NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 90648 (North Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennetta Shimell Moore is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jennetta Shimell Moore, LPN
3215 Old Vineyard Rd,
Winston Salem, NC 27103-1411

Ph: (336) 354-9047
Jennetta Shimell Moore, LPN
3215 Old Vineyard Rd,
Winston Salem, NC 27103-1411

Ph: (336) 354-9047

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› Verified 5 days ago


Licensed Practical Nurse Nurses in Winston Salem, NC

Mrs. Mary Elizabeth Green, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 650 Highland Ave # 100, Winston Salem, NC 27101
Phone: 336-607-8523    Fax: 336-773-0914
Alanna Dawn Smith, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1617 S Hawthorne Rd, Winston Salem, NC 27103
Phone: 336-842-6980    
Wilmisha Denise May, MPH, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1617 S Hawthorne Rd, Winston Salem, NC 27103
Phone: 336-842-6980    
Shavonna Ann Robinson, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 725 Highland Ave, Winston Salem, NC 27101
Phone: 866-275-9552    
Ariel Tilisha Thomas, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 990 Stafford Forest Dr Apt 301, Winston Salem, NC 27127
Phone: 478-396-1103    
Regina Johnson,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1617 S Hawthorne Rd, Winston Salem, NC 27103
Phone: 336-842-6980    Fax: 336-842-6985
Javaun Margaret Patterson, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 650 Highland Ave Ste 110, Winston Salem, NC 27101
Phone: 336-597-2115    Fax: 336-597-2873

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