Jacqueline Moore PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

JACQUELINE MOORE PLLC

Doing business as

Jacqueline Moore PLLC

Practice address

701 NE 136TH Ave Ste 200
Vancouver, WA 98684-6937

Phone

(360) 322-4711

Fax

(360) 583-6404

NPI assigned

Jun 23, 2025

Last updated

Jun 23, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jacqueline Marie Moore, MSN, ARNP, PMHNP-BCNPI 1598235889

Title

Owner/Provider

Phone

(360) 322-4711

Specialties & licenses 1

Addresses

Other names 1

• Jacqueline Moore PLLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacqueline Marie Moore, MSN, PMHNP-BC, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Vancouver, WA
  • NPI 1598235889

  Single Specialty

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1750636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750636800000",
    "number": "1093602906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 NE 136TH AVE STE 200",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986846937",
            "telephone_number": "360-322-4711",
            "fax_number": "360-583-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 NE 136TH AVE STE 200",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986846937",
            "telephone_number": "360-322-4711",
            "fax_number": "360-583-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUELINE MOORE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-23",
        "last_updated": "2025-06-23",
        "certification_date": "2025-05-30",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "360-322-4711",
        "authorized_official_credential": "MSN, ARNP, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jacqueline Moore PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stuart Andrew Jacobson, MD FACC
• Krystal Jacobus
• Alicia Katherine Jacoby, LMP
• Jessica Lynn Jacoby, PNP
• Jason Adam Jacque, MD
• Darcy Jacquet
• Neda Jafarian, M.D.
• Kian John Jafarinejad, H.I.S.
• Jagjit Bhui (Elite Dentistry)
• Karaneh Jahan

• Psychiatric/Mental Health Nurse Practitioner in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.