Moore, Jacqueline

Moore, Jacqueline is an individual health care provider with primary practice located at 6600 S Yale Ave Ste 650, Tulsa OK 74136-3310. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Moore, Jacqueline can be contacted via phone (918) 502-7200.

Contact Information

Primary practice address
6600 S Yale Ave Ste 650 Tulsa OK 74136-3310
Fax: (918) 502-7205
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X R0033672 Oklahoma

Profile Details

NPI number 1801874805
LBN Legal business name Moore, Jacqueline
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2006
Last updated Apr 20th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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