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

Jedd Moore, NP

Individual provider Nurse Practitioner · NPI 1902380371

Jedd Moore, NP is a Nurse Practitioner in Boise, Idaho. Graduated from Ohio State University College of Medicine in 2018, 8 years ago. Practices with Alliance Medical Group LLC, a 130-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
8
Trained at
Ohio State University College of Medicine
Licensed in
ID
In the registry since
2018
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

300 W Myrtle St Ste 100
Boise, ID 83702-7690
Phone: (208) 472-9082
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 59377 (ID)

Record details

NPI number1902380371
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedSeptember 20, 2018
Last updated in NPPESJuly 15, 2021
Certification dateJuly 15, 2021
Mailing addressPo Box 191050, Boise, ID 83719-1050

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Alliance Medical Group Llc — 130 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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