IndividualActive
Jasmine Moore
NPI 1669130381 · Psychiatric/Mental Health Nurse Practitioner · Hollywood, FL
Provider details
- NPI number
- 1669130381
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 4704318940 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Nursing Service Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3400 N 29th Ave
Hollywood, FL 33020-1002
Phone: (954) 276-3400
Street-level locationGet directions
Mailing address
2180 William S. White Building
Flint, MI 48502-1950
Additional practice locations (1)
- 2180 William S. White Building303 E Kearsley StreetFlint, MI 48502Phone: (810) 762-3420
Registry dates
- Enumerated
- 2021-11-30
- Last updated
- 2022-07-28
- Certified
- 2022-07-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.