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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JESSE JAMES MOORE SR.

Active

JESSE JAMES MOORE SR. is a Peer Specialist healthcare provider located in LAS VEGAS, Nevada. NPI 1306712815 is currently active in the NPPES registry. Verify at CMS.

Peer Specialist · LAS VEGAS, NV

Registration Details

NPI Number
1306712815
Provider Type
Individual
Gender
Male
NPI Issued
Oct 13, 2025 (0.86179793259998 yrs)
Last Updated
Oct 21, 2025
License
PRSS-5296 (NV)

Practice Information

Address
3430 E RUSSELL RD STE 320
LAS VEGAS, NV, 891202201
Browse NV providers · Browse ZIP 89120
Phone
7025227964
Fax
7025227998
Primary Specialty
Peer Specialist
175T00000X
Additional Specialty
Peer Specialist

Other Peer Specialist Providers in LAS VEGAS, NV

Name Credential NPI
WENDY GRANT 1093119836
DIANA JEAN WARD 1639577968
JAMES RICKEY DENTON 1689104515
LESLIEANN FARRELL 1780114546
CASTINE OLIVO 1376064725
BILLY JOE WEST 1184149809
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.