Individual provider · Type 1 NPI

Jahara Moore

Student in an Organized Health Care Education/Training Program · Crestview, FL

NPI number 1205732971 Active

Practice location

6118 Walk Along Way
Crestview, FL 32536-4471

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1205732971

Jahara Moore's National Provider Identifier is 1205732971, issued on Oct 19, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Crestview, FL. The record was last updated on Oct 19, 2026.