Individual provider · Type 1 NPI

Jessica Nichole Moore, FNP-C

Family Nurse Practitioner · Tifton, GA

NPI number 1568388262 Active

Practice location

1805 Tift Ave N Ste D
Tifton, GA 31794-3579

Mailing address

74 Surrey Cir
Tifton, GA 31793-8490

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAPRN-NP258792 (GA)

Family Nurse Practitioner: Definition to come...

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About NPI 1568388262

Jessica Nichole Moore, FNP-C's National Provider Identifier is 1568388262, issued on Jun 26, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Tifton, GA. The record was last updated on Jun 26, 2026.