Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB MOORE, PA-C
ActiveJACOB MOORE, PA-C is a Physician Assistant healthcare provider located in NEW BRIGHTON, Minnesota. NPI 1851780928 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · NEW BRIGHTON, MN
Registration Details
- NPI Number
- 1851780928
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 13, 2015 (11.548901022102 yrs)
- Last Updated
- Apr 27, 2015
Practice Information
- Address
-
1900 SILVER LAKE RD NWSUITE 110NEW BRIGHTON, MN, 551121786Browse MN providers · Browse ZIP 55112
- Phone
- 6516289566
- Fax
- 6516280411
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in NEW BRIGHTON, MN
| Name | Credential | NPI |
|---|---|---|
| VERONICA LEE VALENCOURT | PA-C | 1356375679 |
| SARAH MAE ANIKPO | MS, PA-C | 1194743203 |
| LINDSEY K LOCKEN | PA-C | 1043419450 |
| JACLYN SCHLOESSER | PA-C | 1457688244 |
| KATARINA RUTH ASTRUP | PA-C | 1497160246 |
| ANNETTE LEREW-ZIMANSKI | PA-C | 1982093449 |
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.