| NPI | 1093602906 |
|---|---|
| Doing Business As | JACQUELINE MOORE PLLC |
| Entity Type | Organization |
| Authorized Contact | JACQUELINE MARIE MOORE Owner/Provider 360-322-4711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-06-23 |
| Last Update Date | 2025-06-23 |