person
Mrs. Jacqueline Marie Moore, MSN,PMHNP-BC,RN
Psychiatric/Mental Health Nurse Practitioner in Vancouver, Washington
NPI 1598235889

Jacqueline Marie Moore is a Psychiatric/Mental Health Nurse Practitioner based in Vancouver, WA and is specialized in Psychiatric/Mental Health. Jacqueline Marie Moore practices in Vancouver, WA and has the professional credentials of MSN,PMHNP-BC,RN. The NPI Number for Jacqueline Marie Moore is 1598235889 and holds a License No. 60911808 (Washington).

The current practice location address for Jacqueline Marie Moore is 701 Ne 136Th Ave Ste 200, Vancouver, WA and can be reached out via phone at 360-322-4711 and via fax at 360-583-6404. You can also correspond with Jacqueline Marie Moore through the mailing address at 701 NE 136TH AVE STE 200, VANCOUVER, WA - 98684-6937 (mailing address contact number: 360-322-4711).

Location: 701 Ne 136Th Ave Ste 200, Vancouver, WA, 98684-6937
person
Provider Profile Details
NPI Number
1598235889
Provider Name
Jacqueline Marie Moore
Credential
MSN,PMHNP-BC,RN
Provider Entity Type
Individual
Gender
Female
Address
701 Ne 136Th Ave Ste 200, Vancouver, WA, 98684-6937
Phone Number
360-322-4711
Fax Number
360-583-6404
Provider Enumeration Date
11/29/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
701 Ne 136Th Ave Ste 200
City
State
Zip
98684-6937
Phone Number
360-322-4711
Fax Number
360-583-6404
person
Provider Business Mailing Address Details
Address
701 Ne 136Th Ave Ste 200
City
State
Zip
98684-6937
Phone Number
360-322-4711
Fax Number
360-583-6404
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
60911808 (Washington)
Definition
Definition to come...
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