IndividualActive
Jennifer Moore
NPI 1083409502 · Psychiatric/Mental Health Nurse Practitioner · Borger, TX
Provider details
- NPI number
- 1083409502
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- AP1186147 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
120 Avalon St
Borger, TX 79007-8303
Phone: (806) 886-0177
Approximate (ZIP-level) locationGet directions
Mailing address
120 Avalon St
Borger, TX 79007-8303
Additional practice locations (1)
- 1500 S Coulter St Ste 3Amarillo, TX 79106-1787Phone: (806) 350-7601
Registry dates
- Enumerated
- 2025-04-14
- Last updated
- 2025-08-05
- Certified
- 2025-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.