Individual provider · Type 1 NPI
Jacqueline Fay Moore
Case Management Registered Nurse · Oak Creek, WI
NPI number
1386551786
Active
Practice location
2606 E Honeysuckle Dr
Oak Creek, WI 53154-3492
Fax (414) 762-7864
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Management Registered Nurse Primary | 163WC0400X | 127249-30 (WI) |
Case Management Registered Nurse: Definition to come...
About NPI 1386551786
Jacqueline Fay Moore's National Provider Identifier is 1386551786, issued on Aug 24, 2026. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in Oak Creek, WI. The record was last updated on Aug 24, 2026.