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

Individual provider Registered Dietitian · NPI 1629684907

Jaclyn Vaughn Moore, RD is a Registered Dietitian in Louisville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2020.

Licensed in
KY
In the registry since
2020
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

234 E Gray St Ste 164
Louisville, KY 40202-1903
Phone: (502) 629-2405
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 163224 (KY)

Record details

NPI number1629684907
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorNo
NPI enumeratedSeptember 22, 2020
Last updated in NPPESSeptember 22, 2020
Certification dateSeptember 22, 2020

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