JASMINE MARIE MOORE NPI 1669130381

NPI Information

  • NPI: 1669130381
  • Provider Name: JASMINE MARIE MOORE
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3400 N 29TH AVE
    HOLLYWOOD, FL
    ZIP 33020
  • Phone: (954) 276-3400

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NPI Details

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 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
1163W00000XRegistered Nurse4704318940MICHIGANNo
2163W00000XRegistered Nurse9475967FLORIDANo
3363LP0808XNurse PractitionerPsychiatric/Mental Health9475967FLORIDAYes

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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