JACQUETTA DEAN MOORE
NPI 1063637502
Home Health Aide in Baltimore, MD
About Jacquetta Dean Moore NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUETTA DEAN MOORE (NPI 1063637502) is an individual home health aide in Baltimore, Maryland and active in the NPI registry since April 2007.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jacquetta Moore's NPI number?
The NPI number for Jacquetta Moore is 1063637502. It was assigned to this individual provider in the NPPES registry on April 17, 2007.
Where is Jacquetta Moore located?
Jacquetta Moore practices at 322 E 23rd St, Baltimore, MD 21218. The listed phone number is (410) 499-0938.
What is Jacquetta Moore's specialty?
The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.
When was this NPI record last updated?
The NPPES record for Jacquetta Moore was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jacquetta Dean Moore · NPI 1063637502
Home Health Aide provider in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since April 17, 2007.
## Identity
- **NPI:** 1063637502 (Entity type: Individual)
- **Enumerated:** April 17, 2007
- **Primary specialty:** Home Health Aide · taxonomy 374U00000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 322 E 23RD ST, Baltimore, MD 21218-5811
- **Phone:** (410) 499-0938
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1063637502) · Data from the CMS NPPES public registry.