MRS. JILL MOORE RN, CDE
NPI 1639589526
Registered Nurse - Diabetes Educator in Gaylord, MI

Active since May 01, 2014
829 N CENTER AVE STE 140, GAYLORD, MI 49735(989) 731-7872(989) 731-7833 Get Directions Write a Review

NPPES record last updated: May 1, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Jill Moore Rn, Cde NPPES

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

MRS. JILL MOORE RN, CDE (NPI 1639589526) is an individual diabetes educator provider in Gaylord, Michigan, licensed in Michigan (4704150144) and active in the NPI registry since May 2014.

NPPES Registry Identity

NPI1639589526
Entity TypeIndividualFemale
Primary Taxonomy163WD0400X
Provider Legal NameMRS. JILL MOORECredential: RN, CDE
Location Address829 N CENTER AVE STE 140Gaylord, MI 49735-1598
Mailing Address850 N Otsego Ave, Suite 1Gaylord, MI 49735-1568 · (989) 731-7708 · Fax (989) 731-7929
Fax(989) 731-7833
Sole ProprietorNo
Enumeration DateMay 1, 2014
NPI 1639589526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · Diabetes EducatorNursing Service Providers
Taxonomy Code163WD0400X
License Licensed in MI · 4704150144
829 N CENTER AVE STE 140, Gaylord, MI 49735

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.

Physician Assistant
829 N CENTER AVE STE 140
GAYLORD, MI 49735
Nurse Practitioner (Family)
829 N CENTER AVE STE 140
GAYLORD, MI 49735

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 Jill Moore's NPI number?

The NPI number for Jill Moore is 1639589526. It was assigned to this individual provider in the NPPES registry on May 1, 2014.

Where is Jill Moore located?

Jill Moore practices at 829 N Center Ave Ste 140, Gaylord, MI 49735. The listed phone number is (989) 731-7872.

What is Jill Moore's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Diabetes Educator, with taxonomy code 163WD0400X.

When was this NPI record last updated?

The NPPES record for Jill Moore was last updated on May 1, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.