Individual provider · Type 1 NPI

Jennifer Moore, AGACNP-BC, DNP

Nurse Practitioner · South Jordan, UT

NPI number 1962086165 Active

Practice location

5089 W Duckhorn Dr
South Jordan, UT 84009-8145

Other practice locations

  • 157 N 400 W Ste B7, Orem, UT 84057-1909 · (801) 797-0097

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X7014826-4405 (UT)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1962086165

Jennifer Moore, AGACNP-BC, DNP's National Provider Identifier is 1962086165, issued on May 12, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in South Jordan, UT. The record was last updated on Oct 15, 2025.