Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JEFFERSON WILBURN MOORE JR., APN
Active Sole ProprietorMR. JEFFERSON WILBURN MOORE JR., APN is a Adult Health Nurse Practitioner healthcare provider located in BATESVILLE, Arkansas. NPI 1104128867 is currently active in the NPPES registry. Verify at CMS.
Adult Health Nurse Practitioner · BATESVILLE, AR
Registration Details
- NPI Number
- 1104128867
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 30, 2010 (15.751164809615 yrs)
- Last Updated
- Nov 30, 2010
- License
-
ATP-000312 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1710 HARRISON STBATESVILLE, AR, 725017303Browse AR providers · Browse ZIP 72501
- Phone
- 8702621338
- Fax
- 8702621336
- Primary Specialty
-
Adult Health Nurse Practitioner
363LA2200X
Other Adult Health Nurse Practitioner Providers in BATESVILLE, AR
| Name | Credential | NPI |
|---|---|---|
| CYNTHIA ELAINE JACKSON | APN | 1073891040 |
| MR. LEROY MAUPIN JR. | APRN | 1003355447 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.