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

MS. NOREEN TRESA JACK-MOONEY, PA-C

Active Sole Proprietor

MS. NOREEN TRESA JACK-MOONEY, PA-C is a Medical Physician Assistant healthcare provider located in ACOMA, New Mexico. NPI 1831105287 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · ACOMA, NM

Registration Details

NPI Number
1831105287
Provider Type
Individual
Gender
Female
NPI Issued
Jul 31, 2006 (19.892744807945 yrs)
Last Updated
Apr 24, 2019
License
AMD-276 (HI)
Sole Proprietor
Yes

Practice Information

Address
80 B VETERANS BLVD
I-40, EXIT 102
ACOMA, NM, 87034
Browse NM providers · Browse ZIP 87034
Phone
5055525300
Fax
5055525828
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in ACOMA, NM

Name Credential NPI
BRENDA Y PACHECO PA-C 1992981609
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.