Individual
JACLYN ELLY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5 WASHINGTON PL, BEDFORD, NH 03110-6736
(603) 695-2500
(603) 640-1228
Mailing address
87 MCGREGOR ST, MANCHESTER, NH 03102-3765
(603) 695-2500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
088732-23
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
088732-23
NEW HAMPSHIRE STATE BOARD OF NURSING
NH
Enumeration date
07/18/2022
Last updated
01/13/2026
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