MRS. JACQUELINE MARIE MOORE MSN, PMHNP-BC, RN
NPI 1598235889
Nurse Practitioner - Psychiatric/Mental Health in Vancouver, WA

Active since November 29, 2018
701 NE 136TH AVE STE 200, VANCOUVER, WA 98684(360) 322-4711(360) 583-6404 Get Directions Write a Review

NPPES record last updated: May 30, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 30, 2025, Jul 25, 2023, Nov 29, 2018 (3 updates tracked since 2018).

About Mrs. Jacqueline Marie Moore Msn, Pmhnp-bc, Rn NPPES

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

MRS. JACQUELINE MARIE MOORE MSN, PMHNP-BC, RN (NPI 1598235889) is an individual psychiatric/mental health provider in Vancouver, Washington, licensed in Washington (60911808) and active in the NPI registry since November 2018.

NPPES Registry Identity

NPI1598235889
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. JACQUELINE MARIE MOORECredential: MSN, PMHNP-BC, RN
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
Fax(360) 583-6404
Sole ProprietorYes
Enumeration DateNovember 29, 2018
Last NPPES UpdateMay 30, 20253 updates tracked since enumeration
NPPES CertifiedMay 30, 2025
NPI 1598235889 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
License Licensed in WA · 60911808
701 NE 136TH AVE STE 200, Vancouver, WA 98684

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

Accepted Insurance

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.

Nurse Practitioner (Psychiatric/Mental Health)
701 NE 136TH AVE STE 200
VANCOUVER, WA 98684
Otolaryngology
701 NE 136TH AVE STE 200
VANCOUVER, WA 98684
Dental Hygienist
701 NE 136TH AVE STE 200
VANCOUVER, WA 98684
Psychologist (Counseling)
701 NE 136TH AVE STE 200
VANCOUVER, WA 98684
Counselor (Mental Health)
701 NE 136TH AVE STE 200
VANCOUVER, WA 98684

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's NPI number?

The NPI number for Jacqueline Moore is 1598235889. It was assigned to this individual provider in the NPPES registry on November 29, 2018.

Where is Jacqueline Moore located?

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

What is Jacqueline Moore's specialty?

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

What insurance does Jacqueline Moore accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Jacqueline Moore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacqueline Moore was last updated on May 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.