MRS. JACQUELINE MARIE MOORE MSN PMHNP-BC RN NPI 1598235889

NPI Information

NPI: 1598235889
Provider Name: MRS. JACQUELINE MARIE MOORE, MSN, PMHNP-BC, RN
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
101 E 8TH ST STE 110
VANCOUVER, WA
ZIP 98660
Phone: (360) 322-4711
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MRS. Jacqueline Marie Moore, MSN, PMHNP-BC, RN is a psychiatric/mental health nurse practitioner in Vancouver, WA. MRS. Jacqueline Marie Moore, MSN, PMHNP-BC, RN NPI is 1598235889. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

101 E 8TH ST STE 110
VANCOUVER, WA
ZIP 98660-294
Phone: (360) 322-4711

The enumeration date for this NPI number is 11/29/2018 and was last updated on 11/29/2018.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	60911808	WASHINGTON	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: 11/14/2023

NPI Synchronization or Removal

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