MS. JENNIFER MARIE MOORE


Address: 445 Hocutt Farm Dr, Clayton, NC 27527-3751
Phone: 5858020731

MS. JENNIFER MARIE MOORE (NPI# 1588623367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588623367
Entity Type Individual
Full Name MS. JENNIFER MARIE MOORE
Credential PA
Practice Address 445 Hocutt Farm Dr
Clayton
NC 27527-3751
Practice Telephone 5858020731
Enumeration Date 2006-03-21
Last Update Date 2016-05-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 001002915 NC Physician Assistants & Advanced Practice Nursing Providers
N 363A00000X Physician Assistant 010268-1 NY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY RR MEDICARE PIN P00204701 01
NY 02670611 05
NY RR MEDICARE GROUP CC8362 01

Other Providers JENNIFER MOORE

NPI Name Taxonomy Address Enumeration
1215536370 Jennifer Lynn Moore Nurse Practitioner 203 N College Ave Ste 1001, Cleveland, TX 77327-2500 2020-10-20
1790332104 Jennifer Dawn Moore Technician 3154 Jackson Bridge Rd, Carnesville, GA 30521-4126 2019-08-20
1427522192 Jennifer G Moore Speech-Language Pathologist 2500 Cherry Ln, Northbrook, IL 60062-4414 2019-01-16
1548735632 Jennifer Moore Counselor 11706 W Chenango Dr Apt 3, Morrison, CO 80465-2020 2018-10-04
1295218667 Jennifer Elaine Moore Registered Nurse 185 Vz Cr 2103, Canton, TX 75103 2018-09-12
1942788104 Jennifer Heine Moore Licensed Vocational Nurse 315 S Grand Saline St, Canton, TX 75103-1355 2018-07-31
1134639636 Jennifer A Moore Psychologist 310 S Walnut Bend Rd Ste 2, Cordova, TN 38018-7282 2017-10-10
1346778214 Jennifer Moore Counselor 348 Prior Ave N Ste 205, Saint Paul, MN 55104-5591 2017-05-23
1194263665 Jennifer Moore Occupational Therapist 6540 Havens Corners Rd, Blacklick, OH 43004-8415 2017-02-06
1790237329 Jennifer Moore Student in an Organized Health Care Education/Training Program 281 Winter St Ste 240, Waltham, MA 02451-8713 2016-10-31

Office Location

Street Address 445 HOCUTT FARM DR
City CLAYTON
State NC
Zip Code 27527-3751

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538779590 Publix North Carolina, Lp Durable Medical Equipment & Medical Supplies 24 Publix Drive, Clayton, NC 27527 2020-08-05
1740603661 Early Speech Services. Speech-Language Pathologist 68 Bent Creek Court, Clayton, NC 27527 2014-01-29
1538591722 Harris Teeter, LLC. Pharmacy 67 Flowers Crossroads Way, Clayton, NC 27527 2013-07-30
1407104284 Realo Discount Drug Stores of Eastern North Carolina Inc Durable Medical Equipment & Medical Supplies 322 Pritchard Rd, Clayton, NC 27527 2012-08-27
1760768832 American Vets Mobility & Equipment Corp. Durable Medical Equipment & Medical Supplies 180 Millstone Dr, Clayton, NC 27527 2011-11-02
1407138894 Laura Beth Conn Counselor 18 Edinburgh Pl, Clayton, NC 27527 2011-09-13
1114153780 Allegiance Community Care LLC Community/Behavioral Health 34 Orleander Dr., Clayton, NC 27527 2009-06-09
1861696239 Belinda Post Mcferren Psychologist 753 Riverwood Dr, Clayton, NC 27527 2007-06-12
1194801852 Riccobene Flowers Dentist 31 Oleander Drive, Clayton, NC 27527 2006-10-27
1265490361 Leslie Ann Theys Speech-Language Pathologist 68 Bent Creek Ct, Clayton, NC 27527 2006-05-01
Find all providers in zip 27527

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386291102 Benjamin R Anderson Physician Assistant 2138 Nc 42, Clayton, NC 27520 2019-08-26
1114483641 Lindsey Diana Barrett Physician Assistant 2138 Nc Highway 42 W, Clayton, NC 27520-5300 2019-02-20
1558834051 Jonathan Echeverria Physician Assistant 761 Slate Top Rd, Clayton, NC 27520-5984 2019-01-07
1487166906 Kendall Bonot Rodgers Physician Assistant 11491 Us 70 Bus Hwy W, Clayton, NC 27520 2017-10-25
1033620828 Laura Nguyen Physician Assistant 2076 Nc-42, Suite 230, Clayton, NC 27520 2017-10-19
1356851869 Alexandra Kane Hom Physician Assistant 41 Mountaire Pl, Clayton, CA 94517-1524 2017-10-10
1578841334 Megan Wester Physician Assistant 236 Butternut Ln, Clayton, NC 27520-5857 2011-07-28
1376698688 Carrie Leigh Knaus Physician Assistant 2076 Hwy. 42 West, Clayton, NC 27520-5302 2007-01-24
1891726972 Heather Linnea Lesieur Physician Assistant 5439 Clayton Rd Ste B, Clayton, CA 94517-1076 2006-07-06
1114905395 Jason Macdonald Coggins Physician Assistant 2076 Hwy 42 W, Clayton, NC 27520-5302 2006-01-06
Find all providers in CLAYTON

Competitor

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City CLAYTON
Zip Code 27527

Improve Information

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Dataset Information

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.

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