Organization
JACQUELINE MOORE PLLC
Active
Other names
Jacqueline Moore PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE MARIE MOORE MSN, ARNP, PMHNP-BC (OWNER/PROVIDER)
(360) 322-4711
Entity
Organization
Contact information
Practice address
701 NE 136TH AVE STE 200, VANCOUVER, WA 98684-6937
(360) 322-4711
(360) 583-6404
Mailing address
701 NE 136TH AVE STE 200, VANCOUVER, WA 98684-6937
(360) 322-4711
(360) 583-6404
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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