MRS. JENNIFER E MOORE MS RDN LDN CSR NPI 1023271962

NPI Information

  • NPI: 1023271962
  • Provider Name: MRS. JENNIFER E MOORE, MS, RDN, LDN, CSR
  • Classification: Dietitian, Registered - 133VN1005X
  • Specialization: Nutrition, Renal
  • Entity Type: Individual
  • Address: 3870 LISCOTT RD
    SOUTHAVEN, MS
    ZIP 38672
  • Phone: (702) 533-2259

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NPI Details

MRS. Jennifer E Moore, MS, RDN, LDN, CSR is a nutrition and renal dietitian registered in Southaven, MS with 29 years of experience. The provider is an individual who is a Board Certified Specialist in Renal Nutrition and works directly with adult and/or pediatric patients with acute kidney injury, chronic kidney disease (CKD) stages 1-5, or receiving renal replacement therapies (dialysis/transplant) in a variety of settings, OR works indirectly in management, education, or research practice linked specifically to renal nutrition. The specialist in renal/nephrology nutrition is responsible for nutrition assessment, diagnosis, intervention, monitoring, and evaluation. MRS. Jennifer E Moore, MS, RDN, LDN, CSR NPI is 1023271962. 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:

3870 LISCOTT RD
SOUTHAVEN, MS
ZIP 38672-780
Phone: (702) 533-2259

The enumeration date for this NPI number is 7/9/2008 and was last updated on 1/10/2022.

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
1133VN1005XDietitian, RegisteredNutrition, RenalLDN0000001086TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10853OTHERMISSISSIPPILICENSE

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: 11/21/2025

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