JEANNE MARIE CARNEY MOORE NP
NPI 1073500658
Nurse Practitioner in Annandale, VA

Q: What is Jeanne Moore's NPI number?

The NPI number for Jeanne Moore is 1073500658. It was assigned to this individual provider in the NPPES registry on September 29, 2005. The provider is also known as Jeanne Marie Carney Np.

Q: What is Jeanne Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jeanne Moore was last updated on September 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since September 29, 2005

7205 LITTLE RIVER TPKE, ANNANDALE, VA 22003(703) 256-4030 Get Directions Write a Review

NPPES record last updated: September 16, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jeanne Marie Carney Moore Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEANNE MARIE CARNEY MOORE NP (NPI 1073500658) is an individual nurse practitioner in Annandale, Virginia, licensed in Minnesota (R 152237-0) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1073500658

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJEANNE MARIE CARNEY MOORECredential: NP

Location Address7205 LITTLE RIVER TPKEAnnandale, VA 22003-3304

Mailing Address7205 Little River TpkeAnnandale, VA 22003-3304 · (703) 221-7467

Phone(703) 256-4030

Sole ProprietorNo

Enumeration DateSeptember 29, 2005

Last NPPES UpdateSeptember 16, 2009

✔ NPI 1073500658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MN · R 152237-0

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 0024168326 (VA)

7205 LITTLE RIVER TPKE, Annandale, VA 22003

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Other Names 1

Former Name (1)Jeanne Marie Carney Np

Other Identifiers 10

Other062J3CAMN · Blue Cross Blue Shield

Medicare ID-Type Unspecified500001779MN

Medicaid984639500MN

Medicare UPINP39476

Other01-07324Medica

OtherNA2081029811Preferred One

Other23218Sioux Valley Health Plan

Other141044MN · Ucare Minnesota

Other1651881America's Ppo

Other500020824Palmetto Gba Railroad Mcr

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc..Insurance ›

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TIFFANY DANG RPH

Pharmacist