IndividualActive
Jefferson Moore, APN
NPI 1104128867 · Adult Health Nurse Practitioner · Batesville, AR
Provider details
- NPI number
- 1104128867
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APN
- Sex
- Male
- Sole proprietor
- Yes
- License
- ATP-000312 (AR)
Practice location
1710 Harrison St
Batesville, AR 72501-7303
Phone: (870) 262-1338
Fax: (870) 262-1336
Mailing address
1710 Harrison St
Batesville, AR 72501-7303
Registry dates
- Enumerated
- 2010-11-30
- Last updated
- 2010-11-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.