JASMINE MARIE MOORE
NPI 1669130381
Nurse Practitioner - Psychiatric/Mental Health in Hollywood, FL

Active since November 30, 2021
3400 N 29TH AVE, HOLLYWOOD, FL 33020(954) 276-3400 Get Directions Write a Review

NPPES record last updated: July 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 28, 2022, Nov 30, 2021 (2 updates tracked since 2021).

About Jasmine Marie Moore NPPES

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

JASMINE MARIE MOORE (NPI 1669130381) is an individual psychiatric/mental health provider in Hollywood, Florida, licensed in Florida (9475967) and active in the NPI registry since November 2021. She maintains a secondary practice location in Flint.

NPPES Registry Identity

NPI1669130381
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJASMINE MARIE MOORE
Location Address3400 N 29TH AVEHollywood, FL 33020-1002
Mailing Address2180 William S. White Building, 303 E Kearsley StreetFlint, MI 48502-1950 · (810) 762-3420
Sole ProprietorNo
Enumeration DateNovember 30, 2021
Last NPPES UpdateJuly 28, 20222 updates tracked since enumeration
NPPES CertifiedJuly 28, 2022
NPI 1669130381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in FL · 9475967
Also ListedRegistered NurseTaxonomy 163W00000X · License 4704318940 (MI), 9475967 (FL)
3400 N 29TH AVE, Hollywood, FL 33020

Secondary Practice Location 1

Location 12180 William S. White Building, 303 E Kearsley StreetFlint, MI 48502 · Phone (810) 762-3420

Other Providers at the Same Location NPPES 6

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

Registered Nurse
3400 N 29TH AVE
HOLLYWOOD, FL 33020
Counselor (Mental Health)
3400 N 29TH AVE
HOLLYWOOD, FL 33020
Nurse Practitioner (Psychiatric/Mental Health)
3400 N 29TH AVE
HOLLYWOOD, FL 33020
Counselor (Mental Health)
3400 N 29TH AVE
HOLLYWOOD, FL 33020
Psychiatry & Neurology (Psychiatry)
3400 N 29TH AVE
HOLLYWOOD, FL 33020
Nurse Practitioner (Psychiatric/Mental Health)
3400 N 29TH AVE
HOLLYWOOD, FL 33020

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 Jasmine Moore's NPI number?

The NPI number for Jasmine Moore is 1669130381. It was assigned to this individual provider in the NPPES registry on November 30, 2021.

Where is Jasmine Moore located?

Jasmine Moore practices at 3400 N 29th Ave, Hollywood, FL 33020. The listed phone number is (954) 276-3400.

What is Jasmine Moore'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 Jasmine Moore was last updated on July 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.