Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jacob Moore, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1679320634

Dr. Jacob Moore, MD is a Student in an Organized Health Care Education/Training Program in Omaha, Nebraska. Licensed in Nebraska. Registered with an NPI since 2024.

Licensed in
NE
In the registry since
2024
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4400 Emile St
Omaha, NE 68198-0600
Phone: (402) 552-6007
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (NE)

Record details

NPI number1679320634
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 6, 2024
Last updated in NPPESMay 6, 2024
Certification dateMay 6, 2024
Mailing address4400 Emile St, Omaha, NE 68198-0600

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