Individual provider · Type 1 NPI

Jacqueline Moore, ARNP

Obstetrics & Gynecology Nurse Practitioner · Tulsa, OK

NPI number 1801874805 Active

Practice location

6600 S Yale Ave, Ste 650
Tulsa, OK 74136-3310

Fax (918) 502-7205

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Nurse Practitioner Primary 363LX0001XR0033672 (OK)

Obstetrics & Gynecology Nurse Practitioner: Definition to come...

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About NPI 1801874805

Jacqueline Moore, ARNP's National Provider Identifier is 1801874805, issued on Jan 9, 2006. The primary taxonomy on file is Obstetrics & Gynecology Nurse Practitioner (363LX0001X), and the practice location is in Tulsa, OK. The record was last updated on Sep 29, 2026.