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

Jacqueline P. Moore, MD

Individual provider Pediatrics Physician · NPI 1679620488

Jacqueline P. Moore, MD is a Pediatrics Physician in Southfield, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Partly verified

Some contact details are missing from the federal record.

Henry Ford Health System 22777 W Eleven Mile Rd
Southfield, MI 48034
Phone: (248) 358-0722
Fax: (248) 358-8658
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 4301038170 (MI)

Record details

NPI number1679620488
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 4, 2007
Last updated in NPPESJuly 8, 2007
Mailing addressHenry Ford Health System, 22777 W. Eleven Mile Rd, Southfield, MI 48034

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