Individual provider · Type 1 NPI
Jennifer Renae Moore
Psychiatric/Mental Health Nurse Practitioner · Borger, TX
NPI number
1083409502
Active
Practice location
120 Avalon St
Borger, TX 79007-8303
Other practice locations
- 1500 S Coulter St Ste 3, Amarillo, TX 79106-1787 · (806) 350-7601
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | AP1186147 (TX) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 1186147 (TX) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1083409502
Jennifer Renae Moore's National Provider Identifier is 1083409502, issued on Apr 14, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Borger, TX. The record was last updated on Aug 5, 2025.