Jeanne Moore
NP | Nurse Practitioner
2200 Tacketts Mill Dr, Woodbridge, Woodbridge
Virginia, 22192-3012
703-494-4961
Jeanne Moore is a Woodbridge, Virginia based nurse practitioner. Active license number of Jeanne Moore is 0024168326 for Family in Virginia. Her current practice location is 2200 Tacketts Mill Dr, Woodbridge, Woodbridge. Patients can reach her at 703-494-4961. Jeanne Moore is NP and her NPI number (Unique professional ID assigned by NPPES) is 1073500658.
Jeanne Moore has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Jeanne Moore speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Jeanne Moore |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | NP |
| Practice Address: | 2200 Tacketts Mill Dr, Woodbridge, Woodbridge,
Virginia, 22192-3012 |
| Phone: | 703-494-4961 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1073500658 |
| NPI Enumeration Date: | 29 Sep, 2005 |
| NPI Last Update On: | 16 Sep, 2009 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jeanne Moore are as mentioned below.
| License Number | Specialization | State | Status | |
| 0024168326 | Family | Virginia | Primary | |
| R 152237-0 | Nurse Practitioner | Minnesota | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Jeanne Moore such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 23218 | Other | | SIOUX VALLEY HEALTH PLAN |
| 984639500 | Medicaid | Minnesota | |
| 1651881 | Other | | AMERICA'S PPO |
| 141044 | Other | Minnesota | UCARE MINNESOTA |
| 500020824 | Other | | PALMETTO GBA RAILROAD MCR |
| 01-07324 | Other | | MEDICA |
| 062J3CA | Other | Minnesota | BLUE CROSS BLUE SHIELD |
| NA2081029811 | Other | | PREFERRED ONE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Jeanne Moore
2200 Tacketts Mill Dr, Woodbridge
Woodbridge, Virginia |
| Zip: | 22192-3012 |
| Phone Number: | 703-494-4961 |
Patients can reach Jeanne Moore at
2200 Tacketts Mill Dr, Woodbridge, Woodbridge, Virginia or can
call to book an appointment on 703-494-4961.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.