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JEREMIAH JERROD MOORE
NPI 1093533895
Student in an Organized Health Care Education/Training Program in Greenville, NC

Active since September 30, 2024
2606 CROCKETT DR, GREENVILLE, NC 27858(252) 214-1365 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeremiah Jerrod Moore NPPES

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

JEREMIAH JERROD MOORE (NPI 1093533895) is an individual student in an organized health care education/training program in Greenville, North Carolina and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1093533895
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJEREMIAH JERROD MOORE
Location Address2606 CROCKETT DRGreenville, NC 27858-6811
Mailing Address2606 Crockett DrGreenville, NC 27858-6811 · (252) 214-1365
Phone(252) 214-1365
Sole ProprietorYes
Enumeration DateSeptember 30, 2024
Last NPPES UpdateOctober 3, 2024
NPPES CertifiedOctober 3, 2024
✔ NPI 1093533895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2606 CROCKETT DR, Greenville, NC 27858
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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 Jeremiah Moore's NPI number?

The NPI number for Jeremiah Moore is 1093533895. It was assigned to this individual provider in the NPPES registry on September 30, 2024.

Where is Jeremiah Moore located?

Jeremiah Moore practices at 2606 Crockett Dr, Greenville, NC 27858. The listed phone number is (252) 214-1365.

What is Jeremiah Moore's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jeremiah Moore was last updated on October 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.