Individual provider · Type 1 NPI
Jamie Rachel Moore, NP
Adult Health Nurse Practitioner · Huntington Station, NY
NPI number
1801419528
Active
Practice location
180 E Pulaski Rd
Huntington Station, NY 11746-1915
Mailing address
18 Whitson Rd
Huntington Station, NY 11746-2647
Other practice locations
- 101 Nicolls Rd, Stony Brook, NY 11794-0001 · (631) 444-1310
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 650434 (NY) |
| Anesthesiology Physician | 207L00000X | 309740 (NY) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | F309740 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1801419528
Jamie Rachel Moore, NP's National Provider Identifier is 1801419528, issued on May 28, 2020. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Huntington Station, NY. The record was last updated on Feb 19, 2026.