Individual provider · Type 1 NPI
Jacqueline Moore, FNP-C
Family Nurse Practitioner · Monticello, MS
NPI number
1033611256
Active
Practice location
314 Main St Ste D
Monticello, MS 39654-3702
Mailing address
1314 Zetus Rd NW
Brookhaven, MS 39601-8309
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 859952 (MS) |
| Family Nurse Practitioner Primary | 363LF0000X | 902473 (MS) |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
Other family nurse practitioner providers in Monticello
- Constance M. Bradford, FNP-CFamily Nurse Practitioner Monticello, MS NPI 1003960907
- Rebecca Hussey Burris, C.F.N.P.Family Nurse Practitioner Monticello, MS NPI 1013023944
- Becky Jan Mercier, RN, CFNPFamily Nurse Practitioner Monticello, MS NPI 1083726491
- Molly Grubbs Mayhugh, FNPFamily Nurse Practitioner Monticello, MS NPI 1093201980
- Genie B. Vaughan, RN, CFNPFamily Nurse Practitioner Monticello, MS NPI 1134231541
- Jacentha Latress Miller, FNPFamily Nurse Practitioner Monticello, MS NPI 1174389712
- Tonjia S. Lang, FNPFamily Nurse Practitioner Monticello, MS NPI 1205548229
- Teresa Conerly, NPCFamily Nurse Practitioner Monticello, MS NPI 1285065292
About NPI 1033611256
Jacqueline Moore, FNP-C's National Provider Identifier is 1033611256, issued on Mar 3, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Monticello, MS. The record was last updated on Sep 29, 2026.