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JACQUELINE MOORE PLLC
NPI 1093602906
Nurse Practitioner - Psychiatric/Mental Health in Vancouver, WA

Active since June 23, 2025
701 NE 136TH AVE STE 200, VANCOUVER, WA 98684(360) 322-4711(360) 583-6404 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacqueline Moore Pllc NPPES

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

JACQUELINE MOORE PLLC (NPI 1093602906) is a healthcare organization registered as a psychiatric/mental health in Vancouver, Washington and active in the NPI registry since June 2025. The organization lists Jacqueline Marie Moore, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1093602906
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameJACQUELINE MOORE PLLC
Location Address701 NE 136TH AVE STE 200Vancouver, WA 98684-6937
Mailing Address701 Ne 136th Ave Ste 200Vancouver, WA 98684-6937 · (360) 322-4711 · Fax (360) 583-6404
Phone(360) 322-4711
Fax(360) 583-6404
Organization SubpartNo
Authorized OfficialJacqueline Marie MooreOwner/provider · (360) 322-4711
Enumeration DateJune 23, 2025
NPPES CertifiedMay 30, 2025
✔ NPI 1093602906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
701 NE 136TH AVE STE 200, Vancouver, WA 98684
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Other Names 1

Doing Business AsJacqueline Moore Pllc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

RWC RCARE COLUMBIA RIVER, LLC
Otolaryngology
701 NE 136TH AVE STE 200
VANCOUVER, WA 98684
Clark County (253) 400-8338
EVERGREEN MYOHABITS LLC
Dental Hygienist
701 NE 136TH AVE STE 200
VANCOUVER, WA 98684
Clark County (360) 448-1830
DR. SARAH LAUREN ECKSTEIN PH.D., M.S.
Psychologist (Counseling)
701 NE 136TH AVE STE 200
VANCOUVER, WA 98684
Clark County (503) 893-9889
MRS. JACQUELINE MARIE MOORE MSN, PMHNP-BC, RN
Nurse Practitioner (Psychiatric/Mental Health)
701 NE 136TH AVE STE 200
VANCOUVER, WA 98684
Clark County (360) 322-4711
MRS. LEMECIA S. LINDSEY LICSW
Counselor (Mental Health)
701 NE 136TH AVE STE 200
VANCOUVER, WA 98684
Clark County (360) 521-4500

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 Jacqueline Moore PLLC's NPI number?

The NPI number for Jacqueline Moore PLLC is 1093602906. It was assigned to this organization in the NPPES registry on June 23, 2025.

Where is Jacqueline Moore PLLC located?

Jacqueline Moore PLLC is located at 701 NE 136th Ave Ste 200, Vancouver, WA 98684. The listed phone number is (360) 322-4711.

What is Jacqueline Moore PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Jacqueline Moore PLLC was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.