Jerri Kathleen Moore
MD | Pediatrics | Female
Jerri Kathleen Moore, MD is a Tyler, Texas based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Jerri Kathleen Moore is
1306 Doctors Drive, Tyler, Texas - 75701. She can be contacted on phone at
903-592-1890 and fax number 903-592-3222.
Jerri Kathleen Moore is a sole proprietor of her business.
NPI number (Unique professional ID) for Jerri Kathleen Moore is
1407940547 which was assigned by NPPES on 03 Oct, 2006 and it was last updated on 15 May, 2023.
Jerri Kathleen Moore license number is
J0605 for Pediatrics (208000000X) in Texas.
Jerri Kathleen Moore is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Jerri Kathleen Moore basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Jerri Kathleen Moore |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Jerri Kathleen Moore address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1306 Doctors Drive
Tyler, TX, 75701
United States |
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| Phone Number : | 903-592-1890 |
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| Fax Number : | 903-592-3222 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1407940547 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 03 Oct, 2006 |
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| Last Updated On : | 15 May, 2023 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jerri Kathleen Moore are as mentioned. Primary taxonomy code for Jerri Kathleen Moore, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 26000 | MS |
| 208000000X | Pediatrics | Yes | J0605 | TX |
Legacy Identifiers:
Other legacy medical identifiers of Jerri Kathleen Moore such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| J0605 | Other (non-Medicare) | TX | Medical Lis |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
1100 BELK BLVD,
OXFORD, MS, 38655-5242
United States | OXFORD, MS | 662-636-1090 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1306 Doctors Drive
Tyler, TX, 75701
United States |
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| Phone Number : | 903-592-1890 |
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| Fax Number : | 903-592-3222 |
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Business Location:
Patients can refer following map for directions to
Jerri Kathleen Moore practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.