Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN BREANNE MOORE
ActiveCase Manager · BLACKFOOT, ID
Registration Details
- NPI Number
- 1679460810
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 20, 2025 (0.83884605994907 yrs)
- Last Updated
- Jun 20, 2025
Practice Information
- Address
-
495 N SHILLING AVEBLACKFOOT, ID, 832212336Browse ID providers · Browse ZIP 83221
- Phone
- 4357443535
- Primary Specialty
-
Case Manager
171M00000X
Other Case Manager Providers in BLACKFOOT, ID
| Name | Credential | NPI |
|---|---|---|
| SHANE ROBINSON | — | 1104453950 |
| ROBERT JACKSON HAGUE | BI-RBT | 1982493110 |
| HARRISON JACOB INSKEEP | — | 1124985320 |
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.