JENNIFER MOON FNP
NPI 1639501414
Nurse Practitioner - Family in Live Oak, TX

Active since August 05, 2013
11465 TOEPPERWEIN RD, LIVE OAK, TX 78233(210) 599-9570 Get Directions Write a Review

NPPES record last updated: January 29, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jennifer Moon Fnp NPPES

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

JENNIFER MOON FNP (NPI 1639501414) is an individual family provider in Live Oak, Texas, licensed in Texas (789121) and active in the NPI registry since August 2013.

NPPES Registry Identity

NPI1639501414
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENNIFER MOONCredential: FNP
Location Address11465 TOEPPERWEIN RDLive Oak, TX 78233-3138
Mailing Address11465 Toepperwein RdLive Oak, TX 78233-3138 · (210) 599-9570
Sole ProprietorNo
Enumeration DateAugust 5, 2013
Last NPPES UpdateJanuary 29, 2016
NPI 1639501414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TX · 789121
11465 TOEPPERWEIN RD, Live Oak, TX 78233

Other Identifiers 1

Medicare PIN320392ZSWSTX

Other Providers at the Same Location NPPES 2

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

Chiropractor
11465 TOEPPERWEIN RD
LIVE OAK, TX 78233
Optometrist
11465 TOEPPERWEIN RD
LIVE OAK, TX 78233

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 Moon's NPI number?

The NPI number for Jennifer Moon is 1639501414. It was assigned to this individual provider in the NPPES registry on August 5, 2013.

Where is Jennifer Moon located?

Jennifer Moon practices at 11465 Toepperwein Rd, Live Oak, TX 78233. The listed phone number is (210) 599-9570.

What is Jennifer Moon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Jennifer Moon was last updated on January 29, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.