IndividualActive
Jacqueline Moore, N.P.
NPI 1447223706 · Women's Health Nurse Practitioner · Charleston, SC
Provider details
- NPI number
- 1447223706
- Entity type
- Individual
- Primary specialty
- Women's Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- N.P.
- Sex
- Female
- Sole proprietor
- No
- License
- APN2363 (SC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
171 Ashley Ave
Charleston, SC 29425-8908
Phone: (843) 792-1414
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 751461
Charlotte, NC 28275-1461
Additional practice locations (1)
- 75 Springview LaneSummerville, SC 29485Phone: (843) 832-5096Fax: (843) 832-5115
Registry dates
- Enumerated
- 2006-02-08
- Last updated
- 2023-04-03
- Certified
- 2023-04-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.