Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JODI MOORE, PA-C
ActivePhysician Assistant · DICKINSON, ND
Registration Details
- NPI Number
- 1366412843
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 25, 2006 (20.249862131771 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PAC0303 (ND)
Practice Information
- Address
-
47 8TH ST WDICKINSON, ND, 586013951Browse ND providers · Browse ZIP 58601
- Phone
- 7014563819
- Fax
- 7014563815
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in DICKINSON, ND
| Name | Credential | NPI |
|---|---|---|
| KELLIE J LAUMB | PAC | 1982683215 |
| WHITNEY L CHAMPA | PA-C | 1730487851 |
| LARISSA ANN KOHLER | PA-C | 1023370780 |
| SHAD W BROPHY | PA-C | 1215290416 |
| KELLY LEAH GLICK | PAC | 1578817466 |
| TRAVIS BOOKE | PA-C | 1801316716 |
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.