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MRS. JENNIFER PRUITT MOORE L.P.C.
NPI 1184631582
Counselor - Professional in Statesville, NC

Active since August 01, 2006
524 SIGNAL HILL DRIVE EXT, STATESVILLE, NC 28625(704) 871-1045 Get Directions Write a Review

NPPES record last updated: August 11, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Jennifer Pruitt Moore L.p.c. NPPES

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

MRS. JENNIFER PRUITT MOORE L.P.C. (NPI 1184631582) is an individual professional provider in Statesville, North Carolina, licensed in North Carolina (5257) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1184631582
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. JENNIFER PRUITT MOORECredential: L.P.C.
Location Address524 SIGNAL HILL DRIVE EXTStatesville, NC 28625-4391
Mailing Address284 Executive Park Dr Ste 100Concord, NC 28025-1833 · (704) 939-1100 · Fax (704) 939-1173
Phone(704) 871-1045
Sole ProprietorNo
Enumeration DateAugust 1, 2006
Last NPPES UpdateAugust 11, 2017
✔ NPI 1184631582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NC · 5257
524 SIGNAL HILL DRIVE EXT, Statesville, NC 28625
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Other Identifiers 3

Medicaid1184631582NC
MedicaidPC1484SC
Medicaid6103396NC

Other Providers at the Same Location NPPES 20

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

AMY ALEXANDER RN
Registered Nurse
524 SIGNAL HILL DRIVE EXT
STATESVILLE, NC 28625
Iredell County (704) 871-1045
KIMBERLY HARRIS LPN
Licensed Practical Nurse
524 SIGNAL HILL DRIVE EXT
STATESVILLE, NC 28625
Iredell County (704) 871-1045
NEW RIVER SERVICE AUTHORITY
Counselor (Mental Health)
524 SIGNAL HILL DRIVE EXT
STATESVILLE, NC 28625
Iredell County (704) 871-1045
AMY STAMPER
Counselor
524 SIGNAL HILL DRIVE EXT
STATESVILLE, NC 28625
Iredell County (704) 871-1045
TASHE ALEXANDRIA JONES LPN
Licensed Practical Nurse
524 SIGNAL HILL DRIVE EXT
STATESVILLE, NC 28625
Iredell County (704) 871-1045
ANITRA D WHITE LPN
Licensed Practical Nurse
524 SIGNAL HILL DRIVE EXT
STATESVILLE, NC 28625
Iredell County (704) 871-1045
MRS. HOLLY NICOLE COLEMAN LCMHCS
Counselor (Professional)
524 SIGNAL HILL DRIVE EXT
STATESVILLE, NC 28625
Iredell County (704) 871-1045
PAMELA SAILORS RN
Registered Nurse
524 SIGNAL HILL DRIVE EXT
STATESVILLE, NC 28625
Iredell County (704) 871-1045

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 Jennifer Moore's NPI number?

The NPI number for Jennifer Moore is 1184631582. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Jennifer Moore located?

Jennifer Moore practices at 524 Signal Hill Drive Ext, Statesville, NC 28625. The listed phone number is (704) 871-1045.

What is Jennifer Moore's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Jennifer Moore was last updated on August 11, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.