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

Jaclyn Moore

Individual provider Physician Assistant · NPI 1841719994

Jaclyn Moore is a Physician Assistant in Boone, North Carolina. Qualified in 2017, 9 years ago. Practices with Appalachian Regional Medical Associates Inc, a 149-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
9
Licensed in
NC
In the registry since
2017
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Practice location Address checks out

870 State Farm Rd
Boone, NC 28607-4861
Phone: (828) 386-2663
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-07537 (NC)

Record details

NPI number1841719994
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 10, 2017
Last updated in NPPESFebruary 19, 2021
Certification dateFebruary 19, 2021
Mailing address134 Stag Dr, Boone, NC 28607-7061

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Appalachian Regional Medical Associates Inc — 149 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Boone