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

Jeanie Moore

Individual provider Registered Nurse · NPI 1609745413

Jeanie Moore is a Registered Nurse in Albuquerque, New Mexico. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

13101 Lomas Blvd NE Unit 50365
Albuquerque, NM 87123-1492
Phone: (916) 806-1505
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 838921 (CA)

Record details

NPI number1609745413
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 30, 2025
Last updated in NPPESOctober 30, 2025
Certification dateOctober 30, 2025
Mailing address13101 Lomas Blvd Ne Unit 50365, Albuquerque, NM 87123-1492

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