JASMINE MARIE MOORE NPI 1669130381

NPI Information

NPI: 1669130381
Provider Name: JASMINE MARIE MOORE
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
3400 N 29TH AVE
HOLLYWOOD, FL
ZIP 33020
Phone: (954) 276-3400
Get Directions

Jasmine Marie Moore is a psychiatric/mental health nurse practitioner in Hollywood, FL. Jasmine Marie Moore NPI is 1669130381. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3400 N 29TH AVE
HOLLYWOOD, FL
ZIP 33020-002
Phone: (954) 276-3400

The NPI 1669130381 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/30/2021 and was last updated on 7/28/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		4704318940	MICHIGAN	No
2	163W00000X	Registered Nurse		9475967	FLORIDA	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	9475967	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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