Individual provider · Type 1 NPI

Jenna Brooklyn Moore

Surgical Physician Assistant · Fort Worth, TX

NPI number 1023981909 Active

Practice location

800 5th Ave Ste 300
Fort Worth, TX 76104-7303

Call (817) 250-5690 Map

Fax (817) 878-5321

Mailing address

5001 State Highway 114 Apt 3311
Northlake, TX 76262-2278

Other practice locations

  • 5001 State Highway 114 Apt 3311, Northlake, TX 76262-2278 · (812) 621-7977

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Surgical Physician Assistant Primary 363AS0400XPA19726 (TX)

Surgical Physician Assistant: Definition to come...

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About NPI 1023981909

Jenna Brooklyn Moore's National Provider Identifier is 1023981909, issued on Sep 25, 2025. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Fort Worth, TX. The record was last updated on Dec 3, 2025.