Individual
MS. JENNIFER ANNE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3623 CROSSINGS DR STE 206, PRESCOTT, AZ 86305-7101
(866) 849-0692
Mailing address
261 N ROOSEVELT AVE, CHANDLER, AZ 85226-2617
(480) 677-8282
(844) 470-2777
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP5066
AZ
363LF0000X
Family Nurse Practitioner
APRN-5687
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
828347
—
AZ
Enumeration date
07/02/2013
Last updated
03/20/2026
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