Individual provider · Type 1 NPI

Jodi Moore, PA-C

Physician Assistant · Dickinson, ND

NPI number 1366412843 Active

Practice location

47 8th St W
Dickinson, ND 58601-3951

Fax (701) 456-3815

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPAC0303 (ND)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1366412843

Jodi Moore, PA-C's National Provider Identifier is 1366412843, issued on Jan 25, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Dickinson, ND. The record was last updated on Jul 13, 2026.